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Insurance Processor

SARASOTA, FL 34243

Posted: 09/18/2019 Industry: Claims Processor Job Number: 10658 Pay Rate: $16.00

Now hiring for an Insurance Verification Specialist in Sarasota, Florida for leading Durable Medical Equipment Company.

WHAT YOU'LL GET:

Competitive base salary

Training and mentorship

Great work environment

Dependable schedule M-F 9:00am-5:30pm

Full benefits

PTO Accrual

401 (k)

REQUIREMENTS:

High School Diploma or equivalent.

Prior experience with verification and authorizations.

Basic knowledge of medical insurance and terminology.

Good analytical skills and a high degree of accuracy.

ABOUT THE OPPORTUNITY:

Insurance Verifications Specialists will assist with completion of verifications and prior authorizations of DME coverage, evaluates portion to be paid by customer, and performs other Insurance related assignments as directed.

RESPONSIBILITIES:

  • Handles activities related to verification of insurance benefits for customers.
  • Notifies customer of any deductible and/or coinsurance due.
  • Completes financial assistance applications, if appropriate.
  • Contacts customer directly when necessary to obtain additional information.
  • Contacts Primary Care Physicians with regard to referral information.
  • Complies pre-certification information and forwards to insurance company to establish medical necessity and prior approval.
  • Performs regular follow-up calls with insurance companies checking status of prior authorization request. Submits additional documentation, if required.
  • Reviews denials and follows up according to standard procedures. Researches other

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