Benefits Verification Specialist

Job Description

REQUIREMENTS

• Entry level position
• Familiarity with HIPAA regulations to ensure patient confidentiality and data security
• Excellent communication skills for effective interaction with insurance providers, healthcare staff
• Office experience in a fast-paced environment with proficiency in Word, Excel, and Outlook
• Knowledge of substance abuse/mental health billing is helpful but not required.

RESPONSIBILITIES

• Verify patient insurance coverage by contacting insurance providers
• Confirm eligibility, benefits, copayments, deductibles, and authorization requirements for various healthcare services
• Collaborate with other staff to ensure all necessary information is correct and accurate.
• Maintain detailed records of verification activities in compliance with HIPAA regulations
• Assist in resolving insurance-related issues by communicating effectively with insurance companies and treatment centers
• Support billing and coding processes by providing accurate insurance information related to CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems
• Stay updated on changes in managed care policies, insurance plans, and healthcare regulations to ensure compliance

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