Insurance Benefits Verification Specialist, RCM jobs in United States
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Mayfield Brain & Spine · 1 month ago

Insurance Benefits Verification Specialist, RCM

Mayfield Brain & Spine is dedicated to providing the best neurological care for patients. The Insurance Benefits Verification Specialist will be responsible for patient registration, eligibility verification, cost estimation, and managing patient account details within the Revenue Cycle Management team.

BiotechnologyHealth Care
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Senior Management

Responsibilities

Verify patient eligibility and benefits in an accurate, timely manner; prepare cost estimates and pre-collect on scheduled services, register new patients, prepare payment plans, and other tasks as required
Make all necessary corrections to patient accounts in collaboration with the claims follow-up team
Research unpaid patient balances and communicate with patients and clinical office staff as needed to pursue payment. Ensure that questions and requests for information are addressed in a timely & professional manner to ensure resolution & reimbursement
Ensure timely & accurate posting of patient payment information, and follow up with patients as needed to ensure full, expected reimbursement for services provided
Maintain documentation and update our practice management system for appropriate claims submission & other pertinent information to identify action taken
Make necessary adjustments as appropriately required by plan reimbursement & company policy
Prioritize accounts based on aging and outstanding dollar amounts or as directed by management
Research & initiate requests for refunds for accounts with credit balances
Answer & initiate phone inquiries regarding bills, charges, claims, and account status
Update data in the practice management system as required
Contribute to the team environment by performing other duties as assigned

Qualification

Insurance eligibility experienceHealthcare administration experienceCRCR CertificationCustomer serviceComputer proficiencyProblem-solving skillsCommunication skillsTeamwork

Required

High School Diploma required
Two years of experience in healthcare administration/revenue cycle
Demonstrates excellent customer service
Ability to convey empathy
Strong problem-solving, problem-prevention, and decision-making skills
Ability to manage and prioritize multiple tasks in a fast-paced environment
Excellent oral and written communication skills
Ability to maintain composure and restore calm in a stressful situation
Uses good judgment and diplomacy when dealing with others
Desire and ability to work in a team environment
Computer proficient with the ability to learn multiple software applications
Ability to work with minimal supervision

Preferred

CRCR Certification preferred

Company

Mayfield Brain & Spine

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As a trusted independent physician group, our mission is to provide the best brain and spine care to the 30,000 patients we see each year.

Funding

Current Stage
Growth Stage

Leadership Team

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Mark Vorherr
Chief Executive Officer
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Company data provided by crunchbase