Insurance Verification Specialist Jobs

AngMar Medical Holdings
Mansfield, TX
AngMar Medical Holdings is currently seeking a Insurance Verification Specialist to join our corporate team in Mansfield, TX. Apply today to learn more!
What we offer:
Generous Paid Time Off
The flexibility of our PTO plan allows you to set your own priorities & use it for any number of events in your life.
Extensive Training
We encourage you to continue your professional development. Angels Care offers access to CEU portals at zero cost to you.
Full Health, Dental & Vision Benefits (Available 1 st Month)
We offer comprehensive & competitive medical and dental benefits. There are multiple options for you to choose from so you can select a plan that works best for you.
Company Matched 401K
We care about your financial well being and help contribute & plan for your future retirement goals.
Career Advancement
Angels Care has an ‘Internal Promotion’ first mentality. We want you to grow your career with us!
Overview:
Under general supervision, complete accurate and timely insurance verification/authorization to ensure appropriate reimbursement to accounts. Responsible for accurate and timely verification/authorization of all private insurance payers. Verification/authorization must be performed within 24 hours of notification. Responsible for communicating precertification information to branch offices to ensure compliance with front end policies and procedures.
Essential Job Functions:
Verifies all insurance benefits for home health services to determine if insurance coverage meets the standards of admission.
Obtain appropriate authorizations and/or precertification from insurance payers.
Monitors authorizations and/or precertification for continuation of service.
Communicate to the branches via phone, email and/or fax with the appropriate insurance coverage.
Review weekly recertification list for upcoming authorizations.
Setup patient insurance information along with authorization information in the system.
Maintain the contract matrix.
Maintain payer master file in the system.
Review insurance contracts to ensure claim format are setup in the system accurately.
Performs special projects as assigned.
Other duties as assigned.
Education, Experience and Skills:
3-5 years of insurance verification, authorization and/or contracting experience in Home Health or related industry (Hospice, Hospital, Physician, etc.)
3-5 years experience with Medicare, Medicaid and Private Insurance billing/collections.
High school diploma required college courses in accounting preferred.
Must have strong work ethics.
Must be well organized and a self-starter.
Must be able to follow standard filing procedures.
Detail oriented, professional attitude, reliable.
Proficient in Excel and Word, 10-key by touch.
Possess strong organizational and time management skills.
Strong problem solving skills, basic accounting principles knowledge, documentation skills, research and resolution skills, data analysis and multi-tasking skills.
Ability to interact with others in a professional manner.
Ability to speak and write English.
Ability to work independently and with a team in a fast-paced and high volume environment with emphasis on accuracy and timeliness.
Ability to handle confidential information in a discreet, professional manner.
Eye for detail, accuracy is imperative.
Able to meet deadlines.
Excellent oral and written communication skills.
Excellent organizational and analytical skills.
Ability to be an effective team member and display initiative.
We are an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or veteran status.