Job Description
Job Description
Benefits :
- 401(k) matching
- Bonus based on performance
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
Insurance Specialist
Job Description
The primary responsibility of an Insurance Specialist at Bodies in Balance Physical Therapy is to obtain the most accurate benefit information for patients. This includes both patients who are scheduled for new evaluations and for active patients who need updated authorization or updating benefits verification as needed. Accurate and efficient documentation in the electronic medical record is an integral duty. This position is remote and requires excellent communication amongst the team, as a key member of the Revenue Cycle Team.
Primary Responsibilities include :
Accurate verification of primary and secondary insurance claims . Entering information into the EMR system accurately and thoroughly so that best practice of obtaining insurance information is obtained.Monitoring for Authorizations and upcoming expiring Authorizations so that insurance authorization information in the EMR is accurate and that patients are not scheduled beyond their approved / allowed visits.Communicating with the patients in a kind, but effective manner that is meeting the patient where they are as well being clear, concise and confident.Demonstrating the CORE VALUES of Bodies in Balance :
Patient FirstKind, clear communication
Timely notification of all new patients, sending them an estimation of benefit verification within 48 hour notification (2 business days), communicating via textBeing able to effectively communicate in network and out of network optionsMeeting the patient where they areCoordinating with administration and the revenue cycle team about about any concerns, specifically concerns that may prevent a patient from attending PT (excessive cost sharing or OON concerns)Navigating communication and options if patient has high cost sharingTo keep within all HIPAA guidelines at all timesPassionate LearnerTo continue actively learning and implementing new systems, processes, insurance guidelines and requirements as needed, including learning and utilizing software updates
To work with revenue cycle team on how to work more effectively and efficientUnequivocal ExcellenceTo strive to perform your best, at times this may include working outside of stated job description / duties
Teamwork without BoundariesConsistently demonstrate positive communication with all staff
Excellent Remote working characteristics :timely attending all meetings
Camera on with as noise free as possible backgroundTo be available during scheduled hours for messaging, phone calls and virtual meetings, communicating to your team members of any changes in your availability / scheduleShow respect to all team members in all interactions and communicationAssist with training new support staff on understanding variable of insurance cost sharing as needed.Impacting ResultsEnsure accurate info is obtained, documented to reduce and minimize errors that can lead to denials
Following specific processes to ensure accurate cost sharing is communicated to the patient and the team in a timely mannerProblem solving if a trend of inaccurate benefit verification is noted form a certain carrierRegularly monitoring EMR dashboard to assure upcoming patients have authorization.Working with Rev Cycle team and support staff to develop best practices with insurance verification as neededThis is a remote position.
