Insurance Verification Specialist jobs in Frankfort, KY

Position Description:

The Benefit Verification Specialist is responsible for ensuring the insurance benefit and eligibility process is completed and updated for patients in a timely and efficient manner. This position obtains benefits and eligibility for treatment, documents findings and communicates with therapists and patient responsible parties.

Position Responsibilities:

• Obtains and verifies benefits and eligibility for treatment from insurance companies for new and existing patients.
• Ensures accuracy and completeness of information requested; confirms all supporting documents are present.
• Documents benefits and eligibility for treatment into patients electronic medical records; communicates information to therapists and patient legal guardian.
• Timely and accurate review of diagnosis codes and CPT codes requested for treatment. Must ensure insurance companies will cover requested services with the diagnoses provided.
• Ensure copay, deductible and out of pocket information is clearly documented and communicated to RCM team and patient responsible party.
• Ensure requirement for authorizations, and number of allowable visits is clearly documented and communicated in chart, to therapists, RCM team and to patient responsible party.
• Community Involvement attend at least two APT sponsored community events and two APT internal events.
• Additional projects or duties as assigned.

Qualifications & Education: (include, but are not limited to)

• High school graduate or equivalent.
• Prior medical office or billing office experience helpful.
• Excellent oral and written communication skills.
• Prior electronic medical records (EMR) experience helpful.
• Ability to use discretion in handling confidential information.

Physical Requirements:

• Prolonged periods of sitting at a desk and working on a computer.
• Must be able to lift up to 15 pounds at times.