• Verify incoming insurance eligibility and benefits in a timely manner (within 24 hours of receipt).
• Process prior authorization/pre-certifications and referrals when applicable.
• Follow up on any pending results, verification issues, or prior authorization requests daily.
• Constant communication with Rehab Directors and therapy staff within Direct Bill sites.
• Communicate benefit coverage in a clear and understandable way.
• Enter demographics and insurance information into IDEAL at the point of verification.
• Maintain open communication with the Verification team while providing back up support to other insurance verifiers when necessary and available.
• Monitor incoming emails, faxes and phone calls. Position requires extensive time on the phone with insurance companies.
• Maintain Insurance Verification Tracking Report correctly and review at the end of each day.
• Effectively communicate with the Credentialing team regarding discrepancies in network status identified by insurance companies.

• Knowledge of Insurance benefit coordination. Proficient in Excel, Word, and Outlook.
• Experience with billing software, including but not limited to IDEAL, Smart, and Power Flow.
• Experience in Internet based applications and Medicare CWF.

#MON-CORP

• High School degree or equivalent.
• 2 years of medical billing experience is preferred.