Insurance Verification Specialist

H&D Physical Therapy – New York, NY

H&D Verification and Authorization Specialist

Shifts available M-F 9am 5pm

Job Type: Full Time - Non Exempt

Position Summary: Insurance Verification and Authorization Specialist is integral to delivering the very best experience to every patient, every time. Working with insurance companies, providers, administrative staff and patients, they verify that patients have the necessary insurance coverage and authorizations to receive care from H&D. They are able to prioritize, problem solve, and multitask and ensure compliance with company billing policies and all applicable laws and regulations. The Insurance Verification and Authorization Specialist will take direction from the Director.

Ideal candidate has some knowledge of Physical Therapy services and operations.

Duties and Accountabilities:

  • Verify and communicate patient insurance coverage, and answer coverage questions
  • Initiate and follow through with pre-authorizations/pre-determinations for all patients
  • Accurately document information and track all progress into company systems
  • Research, follow up and resolve open & pending authorizations in a timely manner
  • Answer emails and incoming phone calls, make outgoing calls as needed
  • Communicate consistently and professionally with patients, insurance companies and other company departments
  • Maintains positive internal and external customer service relationships.
  • Adhere to HIPAA guidelines, to other relevant state and federal regulations, and to company policies regarding to compliance, integrity, patient privacy and ethical billing practices.
  • Negotiating financial agreements
  • Plans and organizes work effectively and ensures its completion.
  • Perform other tasks or special projects as assigned
  • Required Skills:

  • Working knowledge of commercial insurance and Medicare
  • Effectively utilize electronic health record systems and other billing technologies
  • Understands HIPAA and other relevant regulations affecting patient information and billing practices
  • Familiarity with basic accounting practices, ICD-9 and 10, CPT and HCPCS coding.
  • Solid Microsoft Office skills: Word, Excel and Outlook
  • Strong attention to detail and organization
  • Effective prioritization and multitasking with demonstrated ability to consistently meet deadlines
  • Ability to work well independently as well as part of a team in a time sensitive environment
  • Effective verbal and written communicator
  • Customer service orientation
  • Education/Experience:

  • Minimum 1 year experience in physical therapy/rehabilitation/medical insurance authorization and verification (required)
  • Billing/coding certification and continuing education (preferred)
  • College degree or current enrollment in program and/or equivalent work experience (preferred)
  • Experience working with Electronic Health Records (EHR) billing systems (preferred)
  • Job Type: Full-time

    Experience:

  • Insurance Verification: 1 year (Required)
  • Education:

  • High school or equivalent (Preferred)
  • Language:

  • English (Required)
  • Work authorization:

  • United States (Required)
  • Work Location:

  • One location
  • Benefits offered:

  • Paid time off
  • Health insurance
  • Dental insurance
  • Healthcare spending or reimbursement accounts such as HSAs or FSAs
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