Insurance Verifier

Overview

Intake Insurance Specialist

M-F; Clinic Hours 6am-7pm

Moline, IL

Function as a member of the interdisciplinary team. Primary job functions are assuring accurate and timely reception, scheduling, charge and data entry, report preparation, filing and record keeping and other duties. In addition, collects co-pays / co-insurances, verifies benefits, receives and performs calls to patients and provider offices—all while communicating with the team leaders (business coordinator / denial management specialist, manager, and lead) and therapists to provide great experience and customer service.;

Responsibilities

Administrative / Clerical

• Takes fax orders from referring sources for new patient, schedules new evaluations and future appointments, schedule / reschedule patients via phone calls and / or therapists’ direction as required.
• Keeps accurate, up-to-date files of all referrals received in the department. Pre-registers for all disciplines before first appointment preparing chart.
• Copy and mail / fax initial evaluations and progress / discharge notes, when signed by therapist, to appropriate physicians.
• Performs reception functions and assures that the telephones are answered and patients / visitors are greeted in a timely, courteous and professional manner.
• Performs registration functions and assures timely, efficient and customer-friendly registration system. Has to be able to evaluate each registration / admission and be alerted to potential problems, including pre-certification or financial assistance for the patient.
• Processes insurance eligibility and benefits verification for all outpatient rehabilitation patients.
• Processes insurance pre-authorizations for all outpatient rehabilitation patients.
• Accurately records authorization specifics into EPIC and monitors frequency limitations of benefit.
• Assists in resolving account denials routed to specific Work Queue lists within EPIC.
• Keeps prior authorization Work Queue list up-to-date and follows-up on aging requests.
• Works with therapists to resolve pre-billing edits to ensure timely filing and clean-claim requirement.
• Provides great customer service in a busy, multitasking, fast paced environment

Qualifications

Education : High School diploma or GED.