Centene Corporation
Transforming the health of the communities we serve, one person at a time.
Insurance Verification Specialist
Location
Alabama + 1 moreAll locations: Alabama, Florida
Posted
4 days ago
Salary
$15 - $27 / hour
High School1 yr expExperience acceptedEnglish
Job Description
• Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits
• Obtain and verify insurance eligibility for services provided and document complete information in system
• Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
• Collect any clinical information such as lab values, diagnosis codes, etc.
• Determine patient’s financial responsibilities as stated by insurance
• Configure coordination of benefits information on every referral
• Ensure assignment of benefits are obtained and on file for Medicare claims
• Bill insurance companies for therapies provided
• Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
• Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
• Handle inbound calls from patients, physician offices, and/or insurance companies
• Resolve claim rejections for eligibility, coverage, and other issues
• Performs other duties as assigned
• Complies with all policies and standards
Job Requirements
- High school diploma with 1+ years of medical billing or insurance verification experience
- Bachelor’s degree in related field can substitute for experience
- Experience with payors and prior authorization preferred
Benefits
- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules