• Verify patient contact and insurance information on file.
• Answer non-medical questions and give routine non-medical instructions.
• Enter demographics of new patients, including insurance information, into the applicable system.
• Answer incoming telephone calls, handling calls if applicable and otherwise routing calls to the appropriate party or taking messages.
• Collect, verify and enter into the applicable system, all insurance and third-party resources for payment.
• Coordinate insurance verification with insurance companies through an online eligibility verification system on a case-by-case basis.
• Communicate with the patient regarding the patient’s financial responsibility and collect money, such as copayments, for the procedures.
• Conduct reminder calls prior to procedures.
• Escort patients throughout the Center to ensure proper office flow.
• Understand and abide by all HIPAA policies and procedures.
• Engage in various clerical and recordkeeping duties.
• Assist with the transport and discharge of patients.

• Assist with the capture and reporting of insurance record documentation deficiencies.
• Perform analytical tasks associated with the resolution of "coding" and billing errors.
• Fill, scan and upload documents into the facility’s EMR.
• Maintain records within the standards of compliance.
• Maintain healthy boundaries.
• Maintain regular contact and open communication with families.
• Ensure that documentation is timely, consistent, clear and articulate.
• Accept and utilize supervision.
• Address problems noted by the supervisor.
• Pursue professional development through participation in education and training programs.
• Function well as a team member and contribute positively to the morale of staff.
• Maintain good communication.
• Report any concerns to the immediate supervisor.
• Collaborate with company leadership to ensure department policies, procedures and operations comply with all local, state, and federal regulatory bodies, along with meeting organization standards.

Skills: Regulatory Compliance, Documentation Review, Billing Analysis, EMR Management, Recordkeeping, Family Communication, Professional Development, Team Collaboration

• Perform insurance pre-authorization, verification, and document information accordingly.
• Verify all patient eligibility, authorizations, benefits, and claim information with insurance companies and 3rd party payers prior to the patient's initial physical therapy visit.
• Communicate verification information with appropriate personnel for preparation for the patient's initial visit.
• Identify all patient accounts accurately based on what PPO, HMO, or other Managed Care Organizations the patient’s insurance plan might fall under.
• Contact the physical therapy office with updates on benefit verification information, requests additional information, and insurance cards.
• Accurately completes data entry necessary, including authorizations and benefits.
• Compile and collect an accurate list of contracted and uncontracted insurances.
• Communicate with the Central Billing Office to clarify contractual agreements if they differ from insurance verification.

Skills: Pre-Authorization, Eligibility Verification, Benefit Communication, Account Identification, Insurance Coordination, Data Entry, Contract Management, Billing Communication

• Verify detailed insurance benefits, medical necessity, and authorization/referral guidelines, consistently prioritizing and following the established verification processes.
• Communicate outstanding documentation requests, required account follow-up, and payor issues to the appropriate facility contacts.
• Responsible for maintaining performance standards that ensure the department is operating at peak proficiency and that established goals are consistently being met.
• Maintain effective communication with patients, physicians, medical office staff, and both internal and external co-workers.
• Calculate the estimated patient financial responsibility via the estimation tool.
• Notate all actions performed in the applicable host systems immediately.
• Adhere to strict deadlines, screening referred self-pay patients for programs such as Medicare, Medicaid, Medicaid for nursing home placement, Crime Victims, vocational rehabilitation, QMB, SSI, and any/all other third-party coverage, including other available local, state, and federal programs, in addition to the hospital’s financial assistance program.
• Provide point of service collections for self-pay patients, patients who have balances after insurance or Medicare payments, and patients who do not qualify for any programs/coverage.

Skills: Insurance Verification, Medical Assessment, Referral Management, Documentation Communication, Performance Standards, Financial Estimation, Coverage Screening, Payment Collections

• Create positive first impressions with all patients/customers.
• Display outstanding service to all internal and external customers.
• Schedule patient appointments using established systems.
• Perform data entry of protected health information.
• Collect and document patient payments.
• Operate a multi-line phone system.
• Fax, mail and file medical records and other sensitive documents.
• Responsible for preparing bank deposits.
• Post and extract daily charges.
• Verify patient insurance benefits and obtain pre-certifications.
• Communicate effectively with the clinic and billing staff regarding patient matters.
• Communicate effectively with referring providers and their office staff.

Skills: Patient Relations, Customer Service, Appointment Scheduling, Data Entry, Payment Processing, Phone Operations, Records Management, Insurance Verification

• Promote the values of Hanger.
• Review documentation to ensure it meets the needs of the payer and medical policy.
• Verify the diagnosis code on patient billing is accurate and reimbursable.
• Communicate with clinic staff to obtain necessary documentation.
• Communicate with insurance companies to verify patient benefits.
• Submit authorization requests to insurance companies and follow up.
• Update patient chart with necessary notations, authorization numbers, and documentation.
• Contact the third-party payer to validate the patient’s coverage.
• Contact the patient for updated insurance information.

Skills: Value Promotion, Documentation Review, Coding Verification, Staff Communication, Benefit Verification, Authorization Management, Chart Updates, Insurance Coordination

• Ensure complete and accurate patient setup, perform full benefits verification, including contacting payers to investigate and verify the terms and benefits of patients' insurance policies, as well as cost.
• Facilitate the process for requesting Medical Authorizations and Prior Authorization for medical claims.
• Work closely with Clinical Administration and Billing Departments to assist patients with insurance approvals, financial assistance, etc.
• Provide guidance to healthcare providers and patients in connection with the documentation required for payer coverage, support appeals for denied claims, and follow up with the payer to determine the outcome.
• Follow up on all unpaid claims and old Accounts Receivable items.
• Participate in third-party and medical provider claim audits in order to minimize financial exposure.
• Provide feedback to management and the rest of the billing team to ensure claims are billed out correctly.
• Identify account issues and trends and work with management for resolution.
• Evaluate and escalate at-risk accounts to management for review for financial exposure or write-off.
• Complete all requests for credit card processing.
• Document and submit requests for patient refunds.
• Update providers regarding changes related to regulations.
• Plan and organize work effectively to meet all productivity requirements and ensure its completion.

Skills: Patient Setup, Benefits Verification, Authorization Management, Billing Support, Claims Follow-Up, Audit Participation, Issue Resolution, Regulatory Updates

• Daily work assignment, any type of patient (Inpatient Elective, Inpatient Urgent-Direct, Transfers, Outpatients and Pre-Admission Testing) cases through designated EPIC workqueues.
• Enter and validate the insurance information into the computer to ensure that the patient's insurance has been verified as active and benefit coverage obtained for services provided.
• Contact the patient's insurance companies to verify insurance via Electronic Query (Real-Time-Eligibility RTE/Insurance Payer Portal/Phone).
• Obtain benefit coverage and any referral/authorization numbers.
• Call patients at their home, etc., to obtain any additional demographic or insurance-related information that may prevent completion of assigned verification tasks.
• Elective procedure patients are contacted prior to their scheduled procedure, informing them of the status of their insurance coverage and of any financial responsibility due.
• Refer the case to financial counselors if appropriate.
• Document insurance benefits, co-payments, deductibles and self-pay portions in the account to allow for collections due.
• Handle various payment transactions, including cash/checks/credit cards, receipting and cash drawer closings/reconciliation.
• Inform department management of any pending issues that might delay the ability to perform assigned tasks.
• Monitor automated schedules/workqueues for discrepancies, duplicates and any insurance authorization conflicts.
• Work with the patient to financially clear their account per policy at least 3 days prior to the procedure.

Skills: Workqueue Management, Insurance Data Entry, Eligibility Verification, Authorization Retrieval, Patient Outreach, Financial Counseling, Payment Processing, Issue Escalation

• Resolve any issues with coverage and escalate any complications to the supervisor/manager.
• Reduce claim technical denials and assist in analysis, decreasing A/R days, decreasing costs for researching problems and assist in re-submission of claims and increased front-end collections.
• Assist in educating and acts as a resource, especially to the patient, MD office staff and department Patient Access Associates.
• Assist the department and function as a Patient Access Associate.
• Responsible for meeting daily/weekly/monthly/annual departmental productivity goals and targets.
• Comply with and adhere to all regulatory compliance areas, policies, procedures, and Best Practices.
• Perform special projects and miscellaneous job-related duties.
• Identify the needs of the patient population served and modify and deliver care that is specific to those needs (i.e., age, culture, language, hearing and/or visually impaired, etc.).
• Communicate with the patient, parent and/or primary caregivers at their level (developmental/age, educational, literacy, etc.).
• Adhere to the standards identified in the Medical Center's Organizational Competencies.

Skills: Coverage Resolution, Claims Analysis, Patient Education, Patient Access, Productivity Goals, Regulatory Compliance, Special Projects, Patient Communication

• Responsible for verifying patients’ insurances, as well as their covered benefits and for confirming pre-authorizations for services.
• Assist practice staff with eligibility.
• Serve as a liaison between the RCM department and the various PTC facilities.
• Handle high volume of inbound/outbound calls for patients that need to be screened financially and medically for financial assistance.
• Complete verification of benefits for multiple clients within the appropriate timelines.
• Maintain high-quality customer service standards in compliance with federal and state regulations and guidelines.
• Provide periodic processing status updates.
• Assist in researching reimbursement issues relevant to benefits/eligibility issues.
• Assist in the training of new team members.
• Enter and update patient demographics into the billing system.
• Complete KPI reports as requested by management and the clients.
• Update and manage the VOB tracker for multiple clients.
• Understand federal and state requirements regarding client confidentiality and the principles of maintaining protected health information (PHI).
• Work effectively and maintain expected productivity.
• Support the front desk by educating them on accurate demographic and insurance entry.

Skills: Insurance Verification, Eligibility Assistance, Liaison Support, Call Management, Benefit Verification, Customer Service, Reimbursement Research, Data Entry

• Verify insurance policy benefits for new and returning patients with carriers and employers.
• Assure all insurance information has been completely and accurately obtained.
• Document all pertinent insurance information.
• Document information given or received to support actions taken on insurance charges or referral issues.
• Identify special policy clauses or pre-existing conditions and verify the effective date of policies.
• Educate patients and families on insurance issues.
• Communicate the patient’s fiscal responsibility in a professional manner.
• Notify appropriate work units of the patient’s insurance coverage, authorizations, or status.
• Identify all patients without third-party financial benefits and direct them to financial counseling according to Financial Counseling and Revenue Cycle policies and procedures.
• Receive and review UT-H Health Science Center’s Managed Care contracts to understand the contract provisions.
• Interpret managed care contracts for insurance coverage.
• Provide support to Revenue Cycle work units and other work units.

Skills: Benefit Verification, Insurance Documentation, Policy Analysis, Patient Education, Financial Counseling, Contract Review, Coverage Interpretation, Revenue Support

• Utilize electronic scheduling/pre-registration/financial systems, payer's websites, and recorded calls to validate patients' health coverage and benefits.
• Review and verify all insurance plans and confirm the patient's eligibility and benefits.
• Communicate with insurance carriers for insurance verification, obtaining patient benefits and/or follow-up.
• Verify whether the plan coverage is Primary or Secondary, HMO, PPO, or Commercial Carrier Insurance.
• Verify plan coverage, including deductibles and co-pays and the status of payment requirements.
• Verify the out-of-network requirements/benefits for each patient.
• Verify insurance for emergency and walk-in patients.
• Maintain proper insurance verification documentation in the patient's medical record.
• Input or update any demographic, insurance information, referrals, patient management, and documentation into the electronic file.
• Contact and communicate all applicable insurance deductible, co-pay, arrival and procedure information and instructions to the patient prior to arrival.
• Identify patient financial responsibilities and collect applicable payments.
• Maintain the confidentiality of patients' records and any related work.

Skills: Scheduling Systems, Benefit Verification, Carrier Communication, Coverage Identification, Payment Requirements, Out-of-Network Verification, Documentation Management, Patient Communication

• Perform patient outreach to conduct patient enrollment, benefits coordination, financial assistance assessment, insurance verification and arrange delivery.
• Provide patient care to accurately support pharma programs and triage to a pharmacist.
• Place outbound phone calls and receive inbound phone calls.
• Resolve routine and new issues with patients, doctors and insurers.
• Document all call information and data discovery according to operating procedures.
• Maintain confidentiality of patient and proprietary information.
• Perform all tasks in a safe and compliant manner that is consistent with corporate policies as well as State and Federal laws.
• Work collaboratively and cross-functionally between management, the Missouri-based pharmacy, compliance and engineering.

Skills: Patient Enrollment, Benefits Coordination, Financial Assessment, Insurance Verification, Patient Support, Call Management, Data Documentation, Cross-Functional Collaboration

• Regularly review and maintain up-to-date knowledge of insurance guidelines.
• Identify and solve complex insurance benefit issues.
• Obtain detailed patient information to accurately submit to the proper insurance carriers.
• Contact health care providers to obtain referrals or additional information.
• Follow up with insurance companies to ensure receipt of patient benefit authorizations.
• Maintain strong attention to detail to transpose data and information accurately.
• Responsible for scheduling patient visits.
• Guide and assist Patient Care Coordinators through difficult accounts.
• Provide information and assist patients when help is needed by researching benefit coverage.
• Assist other departments, including Billing and Front Office.

Skills: Insurance Guidelines, Benefit Resolution, Patient Information, Referral Management, Authorization Follow-Up, Data Accuracy, Appointment Scheduling, Patient Assistance

• Monitor reports or work queues in accordance with the insurance verification and authorization processes.
• Ensure timely notification and insurance verification processing.
• Process insurance verifications through various systems and websites.
• Utilize multiple resources to verify eligibility, coverage, and authorization/pre-authorization requirements have been met.
• Confirm authorization is appropriate for scheduled services, data span, facility, etc.
• Place clinical documentation submitted with the order into the patient's chart for securing insurance authorization.
• Maintain compliance and appropriate assignment (primary, secondary, etc.) for coordination of benefits.
• Initiate admission notifications to payers.
• Communicate patient/guarantor financial responsibility, co-pay, deductible and/or self-pay deposits.
• Secure accounts for services in a timely manner.
• Communicate patient waivers and Advanced Beneficiary Notifications to appropriate customers, registration areas, and clinical departments.
• Review patient data for accuracy and completeness of demographic and insurance information and review and make appropriate changes.
• Report audit findings and identify and recommend process improvements within the registration and insurance verification processes.
• Understand the workflow of the entire patient access process.
• Work with the team to ensure efficient workflow management.

Skills: Report Monitoring, Verification Processing, Eligibility Review, Authorization Management, Documentation Handling, Benefit Coordination, Financial Communication, Workflow Management

• Add or correct any billing information to the A/R system, i.e., Medicaid, Medicare number, insurance information, etc.
• Process return mail (paper and electronic).
• Send letters to patients requesting necessary information, such as supplemental insurance information, letters of medical necessity, Medicare Explanation of Benefits, etc.
• Maintain appropriate physical and mental health required to perform the essential functions of this job.
• Regular and timely physical attendance during assigned work hours.
• On-call and overtime work in emergencies and at other times.
• Receive Insurance Verification Form.
• Verify Insurance Benefits and call the individual to go over benefits.
• Enter all insurance information into the medical record.
• Ensure all financial components are in place after the initial financial and all financial updates are submitted for review.
• Responsible for regular insurance verification.
• Serve as backup for other support staff.

Skills: Billing Updates, Mail Processing, Patient Correspondence, Insurance Verification, Benefit Review, Data Entry, Financial Preparation, Staff Support

• Maintain patient records by updating, recording, and filing personal and financial information.
• Protect patients' rights through HIPAA laws.
• Responsible for check-in/check-out.
• Process and verify insurance through providers.
• Responsible for the explanation of benefits.
• Responsible for insurance verification.
• Schedule appointments and surgeries.
• Develop and calculate suitable plans based on clients' needs.
• Resolve client inquiries and complaints.
• Track and identify areas of improvement.

Skills: Record Management, HIPAA Compliance, Patient Check-In, Insurance Processing, Benefit Explanation, Insurance Verification, Appointment Scheduling, Client Support

• Verify dental insurance benefit and restriction details.
• Collect and review all patient insurance information obtained from them prior to entering data into the software.
• Accurately enter the insurance information into the software system.
• Work in programs such as Outlook, Word, and Excel.
• Work independently as an effective self-directed team member, organizing and prioritizing work.
• Obtain specifics on coverage, deductibles, remaining benefits, history, etc., for dental insurance for upcoming patient appointments by utilizing online websites or by contacting the carriers directly.
• Identify and resolve discrepancies and problems relating to patients’ insurance eligibility, including but not limited to, terminated insurance plans, patients not eligible for services being rendered at their scheduled appointment, or patients who have maxed out on their insurance maximum for their plan following their specific plan year.
• Responsible for performing prior authorizations.
• Responsible for running test claims.

Skills: Dental Benefit Verification, Data Entry, Software Proficiency, Independent Work, Coverage Analysis, Eligibility Resolution, Prior Authorizations, Test Claims

• Effectively and accurately verify active health insurance information and interpretation of benefits utilizing EHR verification, SPOT, Availity and other payer sites, prior to service being rendered.
• Effectively and accurately create and maintain patient account information using the face sheet and/or other data provided by servicing facilities.
• Effectively and accurately scan and index health records, including but not limited to face sheets, progress notes, insurance verification forms, insurance cards, medical necessity orders and consent for treatment.
• Effectively and accurately determine if prior authorization is required by health insurance plans, and request authorization by contacting the issuing provider and health plan.
• Thoroughly follow up through the finalization process and maintain active authorizations in the patient's chart.
• Learn and apply health service concepts as they relate to interactions with persons served.
• Provide telephone and department support.
• Verify patient’s insurance eligibility.
• Talk to patients and medical offices about services provided, financial responsibility and insurance coverage.

Skills: Insurance Verification, Account Management, Record Indexing, Authorization Management, Follow-Up Processing, Patient Interaction, Department Support, Eligibility Confirmation

• Verify insurance benefits for commercial and governmental payers.
• Responsible for eligibility investigations via phone and online web portals.
• Obtain authorizations by collecting supporting clinical data from customers and documenting all activities in the customer support system.
• Determine the predetermination, authorization, and referral requirements of each health plan and meet the requirements prior to the delivery of services.
• Procure medical records and additional data from patients and customers.
• Maintain accurate and complete documentation of all inquiries for continuous improvement.
• Review and understand Certificates of Insurance, including limits and additional insured requirements.
• Enter Certificates of Insurance (documents used to provide information on specific insurance coverage) for assigned accounts.
• Review lease language and enter it into the system.
• Handle telephone, mail and email requests in a professional manner.

Skills: Benefit Verification, Eligibility Investigation, Authorization Processing, Referral Management, Data Procurement, Documentation Accuracy, Certificate Review, Customer Communication

• Experience in insurance verification in the healthcare field.
• Experience customer service.
• Excellent verbal and written communication skills.
• Must have organizational skills.
• Able to pay attention to detail and timelines.
• Ability to work well in a team dynamic as well as independently.
• Must have bilingual English/Spanish.
• Must have CPT/ICD-10 coding knowledge.
• Knowledge of Commercial insurance, Medicare and Medicaid guidelines.

Qualifications: BS in Health Information Management with 2 years of Experience

• Experience in patient access, registration, billing, insurance and/or precertification.
• Experience with insurance carriers or a third-party administrator.
• Excellent interpersonal and communication skills, experience and competency in customer relation skills in a professional environment.
• Ability to organize and prioritize work in a stressful environment.
• Ability to work effectively as a member of a team and is self-directed.
• Good problem-solving skills.
• Must have basic medical terminology.
• Must have exemplary keyboarding skills.
• Experience in patient registration systems (i.e., SMS) and familiarity with personal computers.
• Ability to perform several tasks simultaneously.
• Must have extensive Medicare experience.

Qualifications: BA in Business Administration with 4 years of Experience

• Skill in computer applications and the use of a calculator.
• Ability to perform mathematical computations and compute ratios and percentages.
• Knowledge of insurance coding (CPT, ICD-10-CM, and HCPCS).
• Knowledge of compliance and cost reimbursement issues.
• Ability to prepare records in accordance with detailed instructions.
• Ability to work effectively with patients, clients, and coworkers.
• Ability to communicate clearly.
• Ability to work efficiently and productively.
• Ability to maintain confidentiality of sensitive information.
• Skill in establishing and maintaining effective working relationships with other employees, patients, clients, insurance organizations, and the public.
• Ability to work independently, manage multiple practices and multiple priorities, and work swiftly but accurately.

Qualifications: BS in Healthcare Administration with 3 years of Experience

• Experience in a customer-service business.
• Experience in a hospital/medical office setting.
• Ability to type 25 wpm.
• Ability to prioritize and perform a multitude of duties.
• Ability to relate to a diverse patient population.
• Excellent telephone and customer service skills.
• Must have critical analytical/investigative thinking skills.
• Knowledge of basic medical terminology, as well as anatomy and physiology.
• Knowledge of insurance concepts, practice, and procedures.

Qualifications: BA in Communication Studies with 2 years of Experience

• Must have insurance verification experience.
• Strong understanding of Medical Terminology.
• Ability to work independently.
• Must have certification or formal training in medical terminology in Oncology.
• Excellent interpersonal and communication skills.
• Background in billing, insurance verification, coding, patient access, or appointment scheduling.
• Self-directed individual with the ability to prioritize tasks and meet deadlines, excellent attention to detail, and maintain a high level of work quality.
• Strong team player with excellent oral, verbal, and presentation communication skills.
• Proven ability to interface with all customer levels (physicians, Organizational staff, insurance companies, patients, and family members).
• Working knowledge of Microsoft Office Suite, including Outlook, Word, Excel, and PowerPoint, plus healthcare database systems.
• Decisive and capable of exercising good judgment under pressure.
• Knowledge of insurance verification and authorization guidelines for outpatient infusion, Radiation Oncology, and Genetics, including insurance requirements and guidelines, ICD-10, and CPT 4 coding.
• Knowledge and understanding of benefit plans, plan and coverage, and claims responsibility.
• Strong grasp of medical terminology with an emphasis in Oncology.

Qualifications: BS in Medical Billing and Coding with 6 years of Experience

• Previous experience with prior authorizations and referrals.
• Previous experience with Epic medical record and medical terminology.
• Experience in medical billing, medical insurance verification, managed care and/or patient registration.
• Knowledge of health insurance plans, including Medicare, Medicaid and commercial carriers.
• Must have consistent professional behavior.
• Ability to handle confidential information.
• Able to initiate and is a self-starter.
• Able to work independently, prioritizing and organizing workload effectively to complete tasks within the timeframes delegated.
• Must be flexible to handle workflow demands.
• Must demonstrate well-developed communication skills, oral and written.

Qualifications: BA in Public Health with 3 years of Experience

• Experience in a medical billing office.
• Able to work independently and in a fast-paced team environment.
• Able to communicate verbally and in writing, and perform at a high quality in a high-volume setting.
• Must be able to communicate, detect, converse with, convey, express oneself, exchange and process information independently.
• Must have adequate concentration/Memory skills.
• Ability to comprehend and understand information.
• Ability to take constructive feedback.
• Able to meet project deadlines.
• Must have interpersonal communication skills.
• Ability to apply good judgment.
• Must have decision-making.
• Ability to take direction.

Qualifications: BS in Health Services Management with 2 years of Experience

• Experience in medical office insurance verification.
• Experience in successfully providing outstanding customer service.
• Must have real authorization experience, reading clinics, etc.
• Knowledge of HMO, PPO, Government, Workers Comp, LOP and PIP insurance.
• Excellent verbal and written communication skills.
• Self-motivated, articulate, flexible, and have strong multi-tasking and organizational skills.
• Bilingual in Spanish is a plus.
• Experience MS Office Suite.
• Must be familiar with Billing Software.
• Must have knowledge of ICD-10.
• Knowledge of medical terminology.
• Thorough knowledge and understanding of medical insurance and how to obtain information from insurance companies.
• Ability and desire to work in a fast-paced, production-driven environment.

Qualifications: BA in Psychology with 3 years of Experience

• Prior experience working with Medicare, Medicaid, other government payers and commercial insurance in the therapy arena.
• Able to be flexible in responding to priorities and organizational change.
• Ability to work under pressure and follow through on assignments despite setbacks.
• Previous experience in pre-auth verification.
• Experience with obtaining authorizations, referral coordination and patient services.
• Ability to multitask and prioritize needs to meet required timelines.
• Must have customer service experience.
• Effective written and verbal communication skills.
• Strong data entry skills and ability to type with speed and accuracy.
• Strong computer and software skills.
• Ability to use standard office equipment, including copiers, fax machines, and other methods of electronic communications.

Qualifications: BS in Finance with 4 years of Experience

• Ability to type at least 40-45 wpm.
• Must have 100% accuracy in data entry.
• Must have a computer and research skills.
• Extensive knowledge of insurance type coverage and policies.
• Knowledge of Revenue Cycle.
• Must have the ability to work on multiple tasks at once.
• Must be detail-oriented.
• Must work well in a team environment.
• Ability to communicate well with the public and other personnel in a tactful and courteous manner.

Qualifications: BA in Sociology with 2 years of Experience

• Knowledge of medical terminology.
• Thorough knowledge of medical office and pain management.
• Knowledge of medical insurance, benefits verification, and authorizations.
• Knowledge of various Computer software (Excel, Word, email).
• Proficient in utilizing EMR data entry systems (ECW- Eclinicals).
• Knowledge of HIPAA/OSHA compliance.
• Excels in verbal and written communication.
• Exceptional customer service and phone etiquette.
• Ability to problem-solve and work independently.
• Ability to work in a fast-paced, dynamic work environment.
• Strong attention to detail.
• Able to sit and work consecutively using appropriate body mechanics.

Qualifications: BS in Health Information Management with 4 years of Experience

• Knowledge of medical terminology.
• Must have been able to type 45 wpm.
• Exceptional oral and written communication.
• Able to prioritize and complete tasks.
• Must have a positive attitude toward a wide range of individuals.
• Able to collect money from patients.
• Must have strong organizational skills.
• Experience in insurance verification, billing, and collections.
• Experience in a healthcare setting.

Qualifications: BA in Business Administration with 2 years of Experience

• Must have customer service experience.
• Experience in at least one of the following areas.
• Experience in insurance verification and as a pharmacy Technician.
• Experience in specialty pharmacy.
• Understanding and experience with the following.
• Experience in pharmacy medication billing.
• Able to obtain prior authorizations.
• Knowledge of J-codes and Diagnostic codes.

Qualifications: BS in Healthcare Administration with 3 years of Experience

• Must be bilingual (Spanish and English).
• Strong proficiency in both verbal/written in both languages.
• Experience working in back office/administrative tasks.
• Strong interpersonal and communication skills.
• Able to pay meticulous attention to detail.
• Ability to work in a fast-paced environment and demonstrate exceptional multitasking.
• Willingness to commit to the job for the long term.
• Able to deal with diverse and stress-related situations in a calm manner.
• Detail-oriented with a high degree of accuracy.
• Effective oral and written communication and guest-focused.

Qualifications: BA in Communication Studies with 2 years of Experience

• Proficiency in Microsoft Office Suite.
• Able to be flexible, time management.
• Able to be consistent in a fast-paced environment.
• Able to adhere to high standards and accuracy.
• Able to demonstrate honesty and integrity.
• Must have insurance verification experience.
• Expert knowledge of various payers and payer insurance cards.
• Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook).
• Must have fluency in English, as well as written and oral communication.

Qualifications: BS in Medical Billing and Coding with 3 years of Experience

• Experience in an outpatient medical office.
• Excellent knowledge of CPT coding, ICD-10 coding and medical pre-certification protocols.
• Able to research, follow up and resolve open and pending authorizations in a timely manner.
• Able to verify insurance eligibility and benefits of prospects/referrals.
• Comfortable working in a growing, dynamic organization and able to navigate change.
• Able to address insurance-related patient concerns.
• Self-motivated with the ability to multitask and prioritize work in a fast-paced, team environment.
• Excellent oral and written communication skills.
• Ability to prioritize duties due to the urgency of surgery.
• Proficient in the use of MS Office Suite, Google Docs, Google Drive, and other EMR systems.

Qualifications: BS in Public Health with 4 years of Experience

• Experience working in the healthcare industry or accounts receivable field.
• Billing and Collections experience.
• Excellent organizational skills, detail-oriented.
• Ability to prioritize and multitask and meet deadlines.
• Advanced customer service and phone skills.
• Strong interpersonal skills and a high degree of collaboration at all levels.
• Proficient with Microsoft Suite, including Word and Outlook.
• Must have verbal and written communication skills.
• Working knowledge of MS Office and databases.

Qualifications: BS in Accounting with 3 years of Experience

• Knowledge of Medicare, Medicaid and third-party billing.
• Knowledge of data processing capabilities.
• Basic understanding of requirements and regulations set forth by Medicare and other related agencies.
• Able to communicate and often deal with sensitive, confidential issues aimed at collecting and reconciling various resident accounts.
• Must be able to clearly communicate their expertise concerning any number of billing issues, requiring advanced oral and written skills.
• Knowledge of Microsoft Word and Excel.
• Previous experience in Billing and or insurance.
• Experience in the healthcare industry, nonprofit.
• Must have strong organizational skills.
• Excellent written and verbal communication skills.

Qualifications: BA in Psychology with 4 years of Experience

• Experience in benefits verification in the behavioral health or medical industry.
• Experience in medical billing or medical coding certification, or Electronic Health Records.
• Proficiency in insurance benefits application.
• Must be capable of communicating effectively in a timely manner.
• Ability to provide excellent judgment and discretion.
• Ability to handle multiple priorities simultaneously, meet deadlines, and handle work-related stress.
• Ability to handle any call situation while on call.
• Exceptional customer service abilities.
• Must have confidentiality and accountability.
• Must have strong critical-thinking skills.
• Excellent communication skills.

Qualifications: BS in Information Technology with 3 years of Experience

• Excellent communication skills, both oral and written.
• Understanding of MS Office applications with an emphasis on Excel.
• Good math and basic clerical skills.
• Proven ability to effectively problem solve.
• Must have skill in establishing and maintaining effective working relationships with other employees, patients, governmental and commercial payer representatives.
• Must be able to move around quickly and freely in response to crisis situations.
• Must be able to interact with people experiencing a behavioral health crisis.
• Must be able to demonstrate understanding of mental illness and associated symptomology.
• Must have compassion and understand basic tenets of recovery.

Qualifications: BA in Sociology with 4 years of Experience