Sleep Intake Specialist-Insurance verification
Company: VieMed
Location: Lafayette
Posted on: May 8, 2024
Job Description:
Essential Duties and Responsibilities:
- Reasonable accommodations may be made to enable individuals
with disabilities to perform the essential functions of this
position.
- Obtains patient demographic and health insurance information;
collects co-pay(s) when appropriate
- Verifies and records insurance benefits, with the ability to
understand and provide insurance breakdowns
- Obtains prior authorization if required by payer(s)
- Interacts professionally with physicians, patients, patients
family and co-workers
- Schedules set ups, as called into VieMed, by physicians or
physician's office staff, per policy and procedure
- Retrieves incoming referral(s) and logs demographic information
into current patient database & billing system
- Reviews medical records from referral(s) to determine if
medical necessity has been met
- Communicates to sales team &/or referral source(s), if
referral is acceptable or what is missing to complete
referral(s)
- Documents in computer system the status of referral
- Reports all concerns or issues directly to Resupply
Supervisor
- Other responsibilities and projects as assigned Qualifications
- High School Diploma or equivalent
- One (1) to two (2) years working for a Durable Medical
Equipment company or relevant medical office experience
preferred
- Basic understandings of medical insurance benefits
- Skill in establishing and maintaining effective working
relationships with other employees, patients, organizations, and
the public
- Effectively communicate with physicians, patients, insurers,
colleagues and staff
- Able to read and understand medical documentation
effectively
- Knowledge and understanding of same and similar DME
equipment
- Knowledge and understanding of In-network vs Out of Network,
PPO, HMO
- Thorough understanding and maintaining of medical insurances
company's regulations and requirements to include but not limited
to Medicare and Medicaid
- Working knowledge of CPT, HCPCS & ICD10 codes, HCFA 1500, UB04
claim forms, HIPAA, billing and insurance regulations, medical
terminology, insurance benefits.
- Learns and maintains knowledge of current patient database &
billing system
- Up to date with health information technologies and
applications
- Answers telephone in a polite and professional manner.
Communicates information to appropriate personnel and management in
a timely manner
- Establishes and maintains effective communication and good
working relationships with co-workers, patients, organizations and
the public
- Proficient in Microsoft Office, including Outlook, Word, and
Excel
- Utilizes initiative, strives to maintain steady level of
productivity and is self-motivated
- Possible weekend work or overtime, to include working an
on-call rotation schedule Access to Protected Health Information
(PHI)
- This position will require the employee to handle Protected
Health Information (PHI) for duties related to document and report
preparation. Policies and procedures will be strictly adhered to
make sure PHI is protected as required by the HIPAA Privacy Rule.
Working Conditions
- This position will work in an office environment.
Equal Opportunity Employer/Protected Veterans/Individuals with
Disabilities
The contractor will not discharge or in any other manner
discriminate against employees or applicants because they have
inquired about, discussed, or disclosed their own pay or the pay of
another employee or applicant. However, employees who have access
to the compensation information of other employees or applicants as
a part of their essential job functions cannot disclose the pay of
other employees or applicants to individuals who do not otherwise
have access to compensation information, unless the disclosure is
(a) in response to a formal complaint or charge, (b) in furtherance
of an investigation, proceeding, hearing, or action, including an
investigation conducted by the employer, or (c) consistent with the
contractor's legal duty to furnish information. 41 CFR
60-1.35(c)
Keywords: VieMed, Lake Charles , Sleep Intake Specialist-Insurance verification, Other , Lafayette, Louisiana
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