What are the responsibilities and job description for the Insurance Verifier position at Platinum Dermatology Partners LLC?
Job Details
Description
Responsibilities/Duties/Functions/Tasks:
- Review charges, patient information, and insurance information prior to billing to minimize underpayment, denials and re-bill attempts.
- Knowledge of drug cards, medical insurance terminology, medical benefits, and billing process.
- Experience with patient assistance and government programs.
- High skills in drafting and submitting complex insurance correspondence.
- Ensures proper account documentation which is clear, concise and includes all pertinent information.
- Consistently follows established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions.
- Makes appropriate and necessary corrections to patient account information after verification from the facility as needed to ensure timely correction and submission of claim.
- Provide a compassionate and people-centric experience for the patients.
Qualifications
Qualifications
Education: High school diploma or GED.
Experience: Minimum two-four years of experience in a doctors office, hospital setting, or CBO. Prior dermatology office experience is not required, but preferred.
Performance Requirements:
- Quality written and verbal communication skills
- Superior computer skills
- Familiar with medical dermatology terms
- Professional in mannerisms
- Able to demonstrate compassion and patience in dealing with others, patients and co-workers alike
- Able to prioritize tasks, understand providers and managements instructions, and know when to seek information or advice. Immediate and appropriate escalation of trends and issues to management which impact cash, aging and processes
- Maintains or exceeds 95% of established productivity goals and quality standards
- Follows time-keeping and attendance policy daily
- Follows and maintains patient, account and client confidentiality at all times. Adheres to HIPAA and Compliance Policy Guidelines
- Completes projects as assigned with detailed documentation on trends and issues to management
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
Work Environment: Position is in a well-lighted medical office environment. Occasional evening and weekend work.
Physical Requirements: Must possess the manual dexterity to operate office machines including computer and calculator; stooping, bending to handle files and supplies; and mobility to complete errands or deliveries. Environment could include handling of sharps and chemicals.
