PT Solutions Physical Therapy · 8 hours ago
Verification Specialist
Atlanta, GA
Full-time
Remote
Entry Level
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Responsibilities
Obtains necessary information to initiate the insurance verification process.
Contacts insurance companies to verify coverage, limits, etc. as directed by policy.
Initiates tracking forms for outpatients based on patient benefits available.
Obtains reports and treatment notes when needed for insurance authorization and payment.
Assists with outpatient registrations and/or check-ins when needed.
Prepares daily productivity report and submits it to the business office manager.
Assists in the preparation of policies and procedures manuals for benefits verification.
Expands knowledge of insurance benefits and program changes related to Medicare, Medicaid, and commercial carriers by reviewing literature, attending seminars, and taking advantage of continuing education opportunities.
Communicate and cooperate with clinic personnel.
Obtain patient, billing and insurance information in order to maintain current and accurate information in patient files and billing system.
Coordinate with clinic personnel as is necessary to ensure their understanding of patients’ insurance benefits and to secure appropriate reimbursement for services rendered.
Perform telephonic support for online authorization of therapy services
Provide direct support to clinic personnel regarding utilization, authorization, and referral activities
Become proficient in the use of ICD-10 and CPT codes
Contact clinics with authorization, denial, and appeals process information
Performs additional duties deemed necessary to the position and its function.
Assist with end of month corrections on the back end with hospital partners.
Qualification
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Required
Ability to type 60 words per minute preferred.
Strong interpersonal, oral (includes telephone skills) and written communication skills.
Good organizational skills and an ability to prioritize to meet deadlines.
Complete understanding of medical reimbursement and terminology.
Ability to work with disabled individuals.
Working knowledge of all standard office equipment.
Working Knowledge of insurance and outpatient billing procedures.
Company
PT Solutions Physical Therapy
PT Solutions Physical Therapy provider operates as a physical therapy office.
Founded in 2003
1,001-5,000 employees
Funding
Current Stage
Late StageLeadership Team
Dale Yake
Founder/CEO
Recent News
Valdosta Daily Times
2024-02-18
Company data provided by crunchbase
