Insurance Verification Specialist

Overview

HealthPro Heritage has a great Insurance Verification Specialist Opportunity 

Insurance Verification Specialist provide accurate and timely insurance verifications for all HRF facilities. To manage the daily operation for all HRF insurance verifications.

Why Choose HealthPro Heritage?

• Purpose-Driven Work: Be part of a mission-driven organization dedicated to compassionate care and innovative therapy solutions. 
• Growth Opportunities: Enjoy continuous learning and development opportunities tailored to support your professional growth.
• Collaborative Culture: Thrive in a supportive environment where teamwork, respect, and open communication are at the heart of everything we do.
• Commitment to Excellence: Join a team recognized for clinical expertise and commitment to delivering high-quality care and outcomes.
• Competitive Benefits Package: Enjoy competitive compensation along with a comprehensive benefits package designed with YOU in mind!

Join Us in Making a Difference

At HealthPro Heritage, we offer a fulfilling career where you can positively impact lives and achieve personal and professional growth. As a therapist-led, diverse organization, we provide clinical services across various settings, including nursing facilities, retirement communities, hospitals, home care, and pediatric schools and clinics. Join us to be part of a team that values your skills, listens to your input, and makes a meaningful difference in the community.

Responsibilities

These statements reflect the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered a detailed description of work requirements that may be involved.

• Responsible for all HRF insurance verifications.
• Responsible for the tracking of insurance verifications.
• Responsible for review of billing info sheets for completeness and accuracy to include correct insurance and insurance verification forms.
• Responsible for the tracking of the billing info sheets, including follow up calls to ensure that the responsible party signatures are completed and on file.
• Responsible for subsequent or delinquent follow up billings and phone calls related to co-insurance and private pay claims.
• Responsible for the creation and maintenance of HRF resident files kept on site at HHI main office.
• Responsible for reviewing HRF resident files to be sure that necessary information is accounted for especially pertaining to insurance info.
• Identify denied claims due to insurance coverage and obtain the necessary paperwork related to these claims.
• Compile the necessary information related to the denied claims and track the progress of these claims.
• Responsible for the accurate and timely preparation and submission of reports required by management.
• Responsible for preparation of monthly billing documentation for Medicare, Medicaid, and insurance companies to ensure proper payment of funds.
• Responsible for accumulating & entering any necessary billing documentation into Carelink
• Responsible for the follow up with the therapists, rehab managers or area managers concerning billing issues, to ensure the timely preparation of HRF insurance verifications.
• Responsible for communication with customers concerning billing, collection and reconciliation of invoices.

HealthPro Heritage is an Equal Opportunity Employer. We consider all qualified candidates for employment without attention to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other characteristic protected by law. Our employment decisions, including those related to hiring, promotion, and compensation, are made based on individual qualifications, performance, and organizational needs.

Qualifications

• Requires formal knowledge of Medicare, Medicaid and Third Party billing. Knowledge of data processing capabilities
• Basic understanding of requirements and regulations set forth by Medicare, and other related agencies.
• Communications often deal with sensitive, confidential issues aimed at collecting and reconciling various resident accounts.
• Must be able to clearly communicate their expertise concerning any number of billing issues, requiring advanced oral and written skills.
• Knowledge of Microsoft Word and Excel.