Hybrid Insurance Verification/Authorization Specialist
Full-Time/Part-Time Full-Time Description NOW HIRINGHYBRID INSURANCE VERIFICATION/ AUTORIZATION SPECIALISTABOUT USBlue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia.
We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors.
As our network of ASCs continues to grow, we are actively recruiting a new Insurance Verification/ Authorization Specialist to join our talented and passionate care teams.
OUR VISION & VALUESAt Blue Cloud, it's our vision to be the leader in safety and quality forpediatric dental patients treated in a surgery center environment.
Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.
We cheerfully work hard We are individually empathetic We keep our commitments ABOUT YOUYou have an exceptional work ethic, positive attitude, and strong commitment to providing excellent care to our patients.
You enjoy working in a fast-paced, dynamic environment, and you desire to contribute to a strong culture where the entire team works together for the good of each patient.
Job DescriptionSummary/objectiveThe individual is responsible for ensuring patients benefits cover required procedures and exams.
This individual contacts insruance companies to obtain private insruance benefits and authorization requirements and collaborates with individuals to educate them on their benefits and out of pocket cost.
This position is highly visible and requires effective communication skills and understanding of insurance benefits.
Position
Qualifications:
High school degree or equivalent education and training.
Working knowledge of Medicare, Medicaid, Managed care and commercial insruance carriers billing and authorization regulations.
Two years' experience in a fast-paced medical office, hospital or outpatient clinic or healthcare setting.
Specifically, with insruance verification, Estimated cost calculation and presentation.
Must have extensive knowledge of different type of coverage and policies.
Intermediate computer and typing skills.
Excellent phone skills with emphasis on customer service Ability to multi-task, detail oriented, organized ability to maintain accurate records, work quickly to process items in a timely manner, goal oriented.
Excellent analytical and critical thinking skills.
Ability to calculate figures, and amounts such as discounts, proportions, percentages, and volumes.
Ability to solve practical problems and deal with variety of concrete variable in situations where only limited standardization exists.
Ability to review and interpret authorization requests/forms to identify incorrect date and have the skills to make the appropriate corrections.
Duties:
Insurance Verification Specialist is responsible for obtaining verification of patient insurance benefits and eligibility for exams and procedures.
Includes all private insurances.
Accurately enter insurance information into the billing system.
Responsible for pre-certification submission, follow-up, approval accuracy and documentation into the billing system.
Calculate estimated cost for patients upcoming visits/procedures.
Contact Patients regarding financial obligations and arranging payments.
Concisely, precisely, and accurately document all information.
Maintain clear communication with patients as well as insruance companies.
Scanning insurance verification documents into patient accounts.
Maintain strict confidentiality of patient and center related benefits.
Maintain patient confidentiality and adhere to HIPPA guidelines / regulations.
Perform general duties as needed.
Ability to effectively manage multiple responsibilities simultaneously in a deadline driven environment.
Competency:
Customer/ client focus Stress Management / Composure Results Driven Technical Capacity Problem Solving / Analysis Collaboration Skills Teamwork Orientation Time Management Communication Proficiency Work Environment:
The job operates in a professional office environment or can be located remotely in a professional home office.
This role routinely uses standard office equipment.
Position Type / Expected Hours of work.
Full time, dayshift, Monday through Friday.
This position may have occasional overtime.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; talk or hear.
The employee must occasionally lift or move office products and supplies, up to twenty pounds.
TravelThis position requires no travel.
BENEFITS Work with a passionate, dedicated, and talented team in a growing organization committed to doing good Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans 401k plan, including company match Paid Time Off No on call, no holidays, no weekends #INDHP123Other Background and Drug Screening Required EOE Statement We are an equal employment opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.
Recommended Skills Analytical Attention To Detail Billing Calculations Communication Confidentiality Estimated Salary: $20 to $28 per hour based on qualifications.
We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors.
As our network of ASCs continues to grow, we are actively recruiting a new Insurance Verification/ Authorization Specialist to join our talented and passionate care teams.
OUR VISION & VALUESAt Blue Cloud, it's our vision to be the leader in safety and quality forpediatric dental patients treated in a surgery center environment.
Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision.
We cheerfully work hard We are individually empathetic We keep our commitments ABOUT YOUYou have an exceptional work ethic, positive attitude, and strong commitment to providing excellent care to our patients.
You enjoy working in a fast-paced, dynamic environment, and you desire to contribute to a strong culture where the entire team works together for the good of each patient.
Job DescriptionSummary/objectiveThe individual is responsible for ensuring patients benefits cover required procedures and exams.
This individual contacts insruance companies to obtain private insruance benefits and authorization requirements and collaborates with individuals to educate them on their benefits and out of pocket cost.
This position is highly visible and requires effective communication skills and understanding of insurance benefits.
Position
Qualifications:
High school degree or equivalent education and training.
Working knowledge of Medicare, Medicaid, Managed care and commercial insruance carriers billing and authorization regulations.
Two years' experience in a fast-paced medical office, hospital or outpatient clinic or healthcare setting.
Specifically, with insruance verification, Estimated cost calculation and presentation.
Must have extensive knowledge of different type of coverage and policies.
Intermediate computer and typing skills.
Excellent phone skills with emphasis on customer service Ability to multi-task, detail oriented, organized ability to maintain accurate records, work quickly to process items in a timely manner, goal oriented.
Excellent analytical and critical thinking skills.
Ability to calculate figures, and amounts such as discounts, proportions, percentages, and volumes.
Ability to solve practical problems and deal with variety of concrete variable in situations where only limited standardization exists.
Ability to review and interpret authorization requests/forms to identify incorrect date and have the skills to make the appropriate corrections.
Duties:
Insurance Verification Specialist is responsible for obtaining verification of patient insurance benefits and eligibility for exams and procedures.
Includes all private insurances.
Accurately enter insurance information into the billing system.
Responsible for pre-certification submission, follow-up, approval accuracy and documentation into the billing system.
Calculate estimated cost for patients upcoming visits/procedures.
Contact Patients regarding financial obligations and arranging payments.
Concisely, precisely, and accurately document all information.
Maintain clear communication with patients as well as insruance companies.
Scanning insurance verification documents into patient accounts.
Maintain strict confidentiality of patient and center related benefits.
Maintain patient confidentiality and adhere to HIPPA guidelines / regulations.
Perform general duties as needed.
Ability to effectively manage multiple responsibilities simultaneously in a deadline driven environment.
Competency:
Customer/ client focus Stress Management / Composure Results Driven Technical Capacity Problem Solving / Analysis Collaboration Skills Teamwork Orientation Time Management Communication Proficiency Work Environment:
The job operates in a professional office environment or can be located remotely in a professional home office.
This role routinely uses standard office equipment.
Position Type / Expected Hours of work.
Full time, dayshift, Monday through Friday.
This position may have occasional overtime.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
While performing the duties of this job, the employee is occasionally required to stand; walk; sit; use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; climb stairs; talk or hear.
The employee must occasionally lift or move office products and supplies, up to twenty pounds.
TravelThis position requires no travel.
BENEFITS Work with a passionate, dedicated, and talented team in a growing organization committed to doing good Health insurance, Flexible Spending and Health Savings Accounts, disability coverage and additional voluntary plans 401k plan, including company match Paid Time Off No on call, no holidays, no weekends #INDHP123Other Background and Drug Screening Required EOE Statement We are an equal employment opportunity employer.
All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.
Recommended Skills Analytical Attention To Detail Billing Calculations Communication Confidentiality Estimated Salary: $20 to $28 per hour based on qualifications.
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