Demo

VA Patient Services Specialist

Converge Medical Technology
TX Full Time
POSTED ON 3/8/2025
AVAILABLE BEFORE 6/8/2025

Exciting VA Patient Services Specialist Opportunity! Are you ready to take your career to the next level? At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our supervised physical therapy program. The VA Patient Services Specialist is responsible claims processing for the day-to-day operations of patient account verification, authorization, billing and follow up for the VA line of business.

Key Responsibilities :

  • Responsible for the DME business aspects of arranging care regarding Veteran's Administration patients.
  • Insurance verification, coverage limits and identifying and qualifying medical documentation requirements as applicable.
  • Manage incoming referrals and maintain track of all inquiries and responses provided.
  • Utilize Salesforce to conduct day-to-day business responsibilities according to standard operating procedures.
  • Responsible for incoming and outgoing, high volume telephone calls acting as liaison for insurance companies and sales reps to process prior authorizations, appeals and updates.
  • Provide efficient, accurate and timely updates to sales reps and instruct on payer coverage criteria.
  • Research required information using available resources to complete referral submissions and updates.
  • Identify and escalate priority issues to Intake Manager for timely completion of referrals.
  • Abide by all HIPAA, Confidentiality and Privacy laws
  • Other duties as assigned by the Manager as applicable.

Qualifications :

  • At least 1 year of customer service experience with insurance verification or DME.
  • 1-2 years of prior authorization experience in a DME or clinical setting.
  • Experience with Veteran’s Administration accounts preferred.
  • Ability to read, analyze, and interpret general business periodicals, professional journals, technical procedures, or governmental regulations.
  • Ability to effectively present information and respond to questions from groups of managers, clients, customers, and the general public.
  • Ability to write reports, business correspondence, and procedure manuals.
  • Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages; as well as apply concepts of basic algebra and geometry.
  • Ability to interpret an extensive variety of technical instructions in mathematical or diagram form and deal with several abstract and concrete variables.
  • Location : In Person in Austin, TX

    Pay Range : $22- $24 / hr

    Salary : $22 - $24

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