Home Health Focus AI · 17 hours ago
Patient Benefits Specialist Remote Pacific Time 9a-530p
Salem, OR
Full-time
Remote
Entry Level
$20.66/hr - $34.43/hr
2+ years exp
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Responsibilities
Performs Insurance Verification of benefit coverage on all of patient's insurance plans for each service being provided.
Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
Creates documentation required to service the patient per policy and payer guidelines.
Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self-pay guidelines.
Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes / additions to therapy for patients that are already on service.
Qualification
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Required
High School Diploma with 2 years of experience in patient registration or revenue cycle management
1 year of similar experience with an Associate’s Degree, LPN or Pharm Tech license.
Basic level skill in Microsoft Excel (for example: opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
Basic level skill in Microsoft Word (for example: opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Preferred
LPN, RD or Pharm Tech licensure and/or experience
Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.
Benefits
401k
Dental Insurance
Disability Insurance
Health Insurance
Life Insurance
Paid Time off
Vision Insurance
Company
Home Health Focus AI
HomeHealthFocus.ai is an innovative data platform that tracks and analyzes critical information from home care, hospice, and senior living companies across the United States.
2-10 employees
Funding
Current Stage
Early StageCompany data provided by crunchbase
