CCS Medical

Insurance Verification Representative

Job Location US-FL-Clearwater | US
ID
2022-3139
Category
Administrative/Clerical
Position Status
Regular Full-Time
Position Schedule
Monday-Friday
Shift
9:30-6:30
Alternative Schedule
2 late nights until 8pm for month end

Overview

More than a career - a chance to make a difference in people's lives!

When you have the power to make a difference in the health and well-being of others, every day is extraordinary.

Work From Home - We Provide the equipment 

 

Are you customer driven, returning to the working force or is this your first career?

You will thrive in a fast-paced and dynamic environment where it’s all about multi-tasking to get the job done. If you are positive and professional with a focus on solving problems and doing whatever it takes to make a difference to every customer every time you are a match for CCS Medical!  If you relate well to all kinds of people, explain things easily in ways that our patients can understand and listen attentively, and can hone in on the most important issues then.…….. this is the career for you!

Responsibilities

As a Verification Representative, you’ll be at the heart of our operations as you deliver first-class customer service in every interaction in our call center. You will be responsible for qualifying patients’ insurance coverage and ensures patient orders are accurate and complete prior to shipment claim. The verification representative will verify coverage for governmental, commercial insurance companies and patient accounts.  You’ll be the one of our subject matter experts that will help us solve our patient’s challenges-and deliver on our promise of superior customer service.

 

What you’ll be doing...

  • Makes outbound calls to insurance companies to verify insurance benefits        
  • Evaluates insurance coverage in order to determine the policy’s compatibility with our program and recommends the appropriate products based on the patient’s needs and insurance coverage
  • Efficiently and accurately verifies, reviews, documents and completes insurance verifications
  • Identifies and initiates documentation needs and requests to permit timely billing of services and communication with appropriate team(s)
  • Reviews patient accounts and determines appropriate action(s) needed to collect payment
  • Reviews claims and performs claim corrections and submissions to new carrier based on new plan verification
  • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
  • Ability to analyze and correct accounts receivable problems 
  • Maintains a high degree of confidentiality always due to access to sensitive information 
  • Maintains regular, predictable, consistent attendance and is flexible to meet the needs of the department 
  • Follows all Medicare, Medicaid, HIPAA, and Private Insurance regulations and requirements

What WE Bring to the Table:

We offer a wide variety of insurance benefits after 60 days of employment (medical, dental, vision, short and long-term disability and life) with a large portion of premiums paid by the company, as well as paid time off within the first year. We also offer a 401(k) plan with a generous company match and vesting schedule, financial planning, competitive salary, and an EAP-Employee Assistance Plan.

Qualifications

What YOU Bring to the Table:

  • High School diploma
  • One-year medical insurance verification related experience or equivalent combination of education and experience
  • One year of customer service experience required
  • Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes
  • Ability to analyze and correct accounts receivable problems
  • Proficient in Microsoft Outlook, Word, Excel, PowerPoint and computer literacy
  • Knowledge of government and commercial insurance payers as it relates to documentation of claims that are required before submission
  • Ability to understand Medical Records documents 
  • Position may require evening and weekend availability

CCS Medical is an EEO/AA employer. M/F/D/V

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