What are the responsibilities and job description for the Insurance Specialist position at Custom Physical Therapy and Fitness?
Job Summary
Our fast paced physical therapy practice is seeking an experienced Insurance Verification Associate. Must have working knowledge of insurance authorizations and benefits. Duties included and are not limited to insurance claims follow-up, denials, and rejections. Full time or Part time hours are available
Responsibilities
- Entering the information into the patient's EHR correctly and efficiently
- Authorizations will include multiple online portals, websites, telephone calls to carriers, etc. as is needed to extract the correct information needed for authorization completion.
- Engage in authorization of new benefits annually during the month of January to insure authorizations are active and accurately reflecting in the EMR.
- Verify and enter authorization requirements into the EMR financial information for patients
- Determine and carry forth the process required for authorization completion which may include the following: OPTUM Clinicial Submission, Humana, Workers Comp, VA auth
- Adjustment of Cases to insure the notification of the proper clinical submission is listed to keep all parties looped into the process requirements.
- Track expiring Authorizations daily and notify offices at the two visits, one visit, and hold visits mark while additional approval is sought.
- Working closely with therapists on completion of documentation, scheduling progress evaluations and approval or denial of continued visits.
- Review of Expiring Authorizations Report and schedules on daily basis to insure there are no treatments without authorization.
- Additional items and responsibilities as growth and expansion of our services dictate.
- Verifying Insurance Benefits
- Securing Authorization for Insurance that Requires so the patient can be seen.
Experience
- Previous experience in medical insurance verification
- Familiarity with HIPAA regulations is essential.
- Strong analytical skills with the ability to be precise in entering information in EMR
- Excellent communication skills, both verbal and written, are required
Job Types: Full-time, Part-time
Pay: $15.00 - $20.00 per hour
Work Location: In person
Salary : $15 - $20