Job Summary:

Verifies patient benefits by phone or insurance platform.  Documents benefits into Therapy Source New Patient Registration (NPR).  Provide insurance data support to the clinics and Central Billing Office. Provide support with Special Projects.

Essential Functions:

Verifies insurance eligibility by phone or approved online platforms.

Knowledge of in-network payers with use of resources and tools.

Knowledge of out-of-network options to communicate and recommend to front office clinic staff.

Communicates issues/problems with demographic information to the Administrative Service Manager.

Communicates any problems with insurance companies to Administrative Service Manager.

Documenting and tracking payer specific requirements.

Reporting daily statics to ensure department goals are met.

Forward any updates changes or addition of plans from insurance companies to Administrative Service Manager in a timely manner.

Inputs insurance benefits into comment screen within 24 hours of receiving, contingent upon all information is available and accurate in order to receive benefits.

Ensure information registered into TS NPR system is accurate according to information given, e.g. patient ID, group # etc.

Conveys the need for pre-cert or referral as soon as information is received from insurance company to front office clinic staff.

Answers phone for within the insurance verification administrative offices in a timely and professional manner.

Assures the completeness and accuracy of all insurance information prior to a perspective patient’s admission.

Provides patient insurance support to front office, billing and collections staff.

Good organization skills, excellent telephone and people skills

Time Management skills with demonstrated ability to meet deadlines

All other Tasks as assigned