What are the responsibilities and job description for the Insurance Verifier DME position at St Joseph Medical Equipment Corp?
Insurance Verifier DME
The Insurance Verifier will be contacting insurance companies to verify a patient’s eligibility for durable medical supplies. This position requires skills for checking coverage details like deductibles, co-pays, and benefit limits, to ensure accurate billing and to inform patients about their financial responsibility before receiving services.
This role requires strong communication skills, knowledge of insurance portals, an understanding of medical coding, and ability to navigate different platforms to gather necessary insurance benefit information. The Insurance Verifier should know the differences in Medicare plans, Medicare Advantage plans as well as Medicaid and private insurances.
Key responsibilities of an insurance verification specialist:
- Contact insurance companies to verify eligibility, coverage levels, and pre-authorization requirements for specific durable medical equipment products.
- Interpret insurance plan details to determine patient financial responsibility, including co-pays, deductibles, and out-of-pocket costs.
- Accurately record patient insurance information into electronic medical records (EMR) systems.
- Explain insurance coverage details to patients and address any questions regarding their financial responsibility.
- Provide accurate insurance information to the billing department for claim submission.
- Understanding of basic medical terms and codes to accurately interpret patient records and insurance policies.
- Familiarity with different types of insurance plans (e.g., HMO, PPO, Medicare, Medicaid) and their coverage details.
- Ability to effectively communicate with patients, insurance companies, and healthcare providers.
- Efficient use of EMR systems and online insurance portals to access patient information and verify coverage.
- Accurate data entry and meticulous review of insurance information to avoid billing errors.
- High volume of phone calls to insurance companies.
- May involve interaction with patients to gather insurance details and explain coverage information.
Job Type: Full-time
Pay: From $22.00 per hour
Expected hours: 40 per week
Benefits:
- Health insurance
- Paid time off
Work Location: In person
Salary : $22
