What are the responsibilities and job description for the Insurance Verifer / Scheduler position at The Woodlands Specialty Hospital?
JOB TITLE : Insurance Verifier
EMPLOYER : Everiz Management LLC
DUTIES AND RESPONSIBILITIES :
Verifying Medical Insurance benefits through payer websites and / or by phone with NPI and TAX ID
Experienced in initiating and following up on Pre-certification
Understands how to read doctor’s Orders
Familiar and understand Traditional Medicare Part A & B, Medicare Advantage and Medicare Replacement plans
Familiar with procedure and diagnosis codes-CPT codes and ICD10 codes
Knowledge of how In Network / Out of Network benefits work
Experienced Financial Counselor-understands how to calculate benefits and collect from patient financial responsibility
Familiar with Radiology (CT, MRI, XRAYS, NUCLEAR MEDICINE, etc.)
Knowledge of Outpatient Surgery Procedures
Experienced Registration and scheduling in Athena Software
Familiar with medical terminology
Attention to details, very professional, great customer service, and has to be a team player
Type 40 wpm or more
Experience with MS Word, Excel, and Outlook email
Monday-Friday, 8am-5pm
Performs other related duties as assigned by management.
COMPETENCIES :
Diversity - Demonstrates knowledge of EEO policy; Shows respect and sensitivity for cultural differences; Educates others on the value of diversity; Promotes a harassment-free environment; Builds a diverse workforce.
Ethics - Treats people with respect; Keeps commitments; Inspires the trust of others; Works with integrity and ethically; Upholds organizational values.
Adaptability - Adapts to changes in the work environment; Manages competing demands; Changes approach or method to best fit the situation; Able to deal with frequent change, delays, or unexpected events.
Attendance / Punctuality - Is consistently at work and on time; Ensures work responsibilities are covered when absent; Arrives at meetings and appointments on time.
Customer Service - Manages difficult or emotional customer situations; Responds promptly to customer needs; Solicits customer feedback to improve service; Responds to requests for service and assistance; Meets commitments.
Dependability - Follows instructions, responds to management direction; Takes responsibility for own actions; Keeps commitments; Commits to long hours of work when necessary to reach goals; Completes tasks on time or notifies appropriate person with an alternate plan.
The above is intended to describe the general content of and requirements for the performance of this job. It is not to be construed as an exhaustive statement of duties, responsibilities or physical requirements. Nothing in this job description restricts management’s right to assign or reassign duties and responsibilities to this job at any time. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
ACKNOWLEDGEMENT ( Optional )
I have read the foregoing job description and understand the responsibilities of the job.
I agree that I am able to perform the essential duties of this position.
