Insurance Specialist - Must live in Texas

Job Description JOB TITLE: Insurance Specialist REPORTS TO: Director of Billing and Authorizations JOB OVERVIEW: Insurance Specialist is a qualified individual who will perform a variety of administrative functions related to quote of benefits and coordination with the parent, Patient Services Specialists and Authorizations team, in the corporate office of a Home Health Care Agency. ESSENTIAL FUNCTIONS INCLUDE BUT ARE NOT LIMITED TO: • Knowledgeable about specific payers and processes efits in a skilled and timely manner. • Knowledgeable about specific payers and processes • Self–Directed; needs minimal supervision • Maintains a positive and professional attitude at all times. • Demonstrates excellent customer service skills with both internal and external customers • Exhibits excellent communication skills. Is able to clearly and concisely explain complex information. • Solutions oriented • Verifies patient insurance eligibility and benefits. May assist in obtaining and managing Insurance AUTHORIZATIONS, as needed. • Contacts parent/Caregiver to discuss QOB, financial responsibility and payment options • Uses multiple computer applications to manage and maintain medical records, verify insurance eligibility and communicate with patient caregivers as well as other teams within the agency. • Scans documents into the electronic medical record as necessary. • Works independently to identify appropriate next steps following communication with caregiver. • Demonstrate Critical Thinking and Problem Solving related to coordinating Insurance Criteria and Division Criteria for patient admissions and communications. • Maintain a clean and organized office environment at all times. • Be flexible and able to perform a wide variety of administrative support functions as directed • Performs all duties in compliance with agency policies and procedures. • High School graduate, some college course work-preferred. • Ability to multi-task with above average organizational skills-required. • Excellent administrative, organizational, and phone skills-required. • Strong Working knowledge of MS Word, MS Excel, and Outlook-required. • Experience in medical insurance, intake department, or authorizations, in-take department, or doctor’s office-preferred. Apply Job!