Spherion WACO is currently looking for a Insurance Verification Specialist to service one of our clients.

The ideal candidate will have previous Insurance Verification Experience.

Responsibilities

• Insurance Verification Specialist is responsible for obtaining verification of patient payer benefits and eligibility for the homecare services ordered. Includes Private Insurance, Veteran’s Association, Medicare/Medicaid
• Ongoing written and verbal communication with case managers regarding authorization, re-authorization, and retro-authorization of visits
• Provide payers with verbal or faxed clinical status reports, etc. as needed
• Provide accurate documentation of conversations regarding patients
• Working knowledge of specific contracts between the agency and various payers
• Insures that cases are effectively managed according to utilization and authorization, as defined by payer. This function includes: documentation and ongoing maintenance of authorization and re-authorization
• Acting as a resource to patients and communicating as appropriate with other family members involved in patient care re insurance coverage
• Utilizes sound customer service principles in relating to patients by negotiating effectively, resolving conflicts, seeking management assistance as appropriate, and responding as appropriate and communicating the agency’s spectrum of care
• Verify Medicare eligibility via Ability website. Recognize “Option C” coverage and Medicare Secondary and obtain appropriate authorization for services
• Verify Medicaid coverage, report to “Medicaid Specialist” new Medicaid referrals
• Scan insurance documents as needed for “Accounts Receivable and Billing Manager”
• Works under the direction of “Accounts Receivable and Billing Manager”, assist with duties as directed
• Process new intakes/referrals as requested
• Electronic and paper filing, including but not limited to patient and insurance company correspondence
• Answer incoming calls as needed
• Other duties as assigned

Requirements and skills

• Proven experience as an Insurance Verification Specialist
• Good organizational skills
• Excellent communication skills
• High school diploma required.

If you feel that you would be a good fit for the position please apply to this job posting. You may also find the job posting on our website

www.spherion.com/apply

Job Type: Full-time

Pay: $14.00 per hour

Benefits:

• Dental insurance
• Health insurance
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Ability to commute/relocate:

• Woodway, TX 76712: Reliably commute or planning to relocate before starting work (Required)

Experience:

• ICD-10: 1 year (Preferred)

Work Location: One location