Centene Corporation

Transforming the health of the communities we serve, one person at a time.

Insurance Verification Specialist

Full TimeRemoteTeam 10,001+Since 1984H1B No SponsorCompany SiteLinkedIn

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

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