Insurance Verification Specialist - Hybrid

WHO WE ARE:

AC3 was founded by a group of oncologists who built solutions to optimize their own practices. Now, we give specialty health practices the power to make decisions with better data. Our mission is to help them thrive through people, purposeful technology, and collaboration. The work we do empowers healthcare practitioners and their teams to provide the highest quality of care in a sustainable way. That’s what motivates us.

We’re looking for passionate, driven innovators to join our mission. If you thrive on challenge, love taking action, and get up every day ready to make a difference, apply now. Learn more at www.ac3health.com

COMPANY MISSION: To help specialty practices thrive.

POSITION SUMMARY: This position is responsible for verifying patient insurance information and eligibility. Enters insurance information in the system and communicates insurance status to patient and/or client. Must be able to answer patient and staff questions regarding insurance status and network availability.

ESSENTIAL FUNCTIONS AND JOB RESPONSIBILITIES

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• Obtains medical coverage information from patients, verifies coverage with appropriate insurance carrier and enters information into the PM and EMR.
• Effectively communicates insurance status to patients, clients, and RCM department as needed.
• Maintains patient demographic information in PM and EMR.
• Reviews patient deductibles, and copays and enters it into the billing system per SOP.
• Identifies and notifies front end clients regarding errors.
• Assists in the training and understanding of insurance verification and eligibility for clients and incoming team members.
• Works in conjunction with the other RCM departments to ensure clean billing.
• Answers questions from patients, clients, and team members regarding insurance activity timely.
• Runs and monitors daily reports regarding patient coverage status per insurance guidelines.
• Stays up to date on payer changes and modifications regarding coverage status.
• Maintains the practices and principles set forth by AC3 leadership with a strong commitment to service, excellence, and quality.
• Maintains professional behavior, confidentiality, and discretion at all times, along with the ability to work with all levels of staff with a confident and professional demeanor.
• Follows HIPPA rules and regulations.

POSITION REQUIREMENTS

• High school diploma or equivalent (GED). Minimum one year experience in a medical/billing environment. Medical Terminology preferred.
• Accurately maintains and adheres to all safety rules and regulations.
• Proficient in Microsoft Office preferred. Working knowledge/experience in electronic medical records and/ or other medical software if applicable.
• Must be detail oriented.
• Ability to contact insurance carriers and obtain accurate and timely insurance information.
• Document and communicate insurance status.
• Must possess the ability to work with patients and family members in a confident, respectful, and socially professional manner.
• Excellent communication and organizational skills with the ability to work in a fast paced environment; prioritize tasks and workloads.
• Performs other duties as assigned.
• This is a remote position with the expectation of travel to meet the needs of the position. Work is completed in a general office environment, sedentary in nature but may require standing and walking for up to 10% of the time. The work environment is favorable with adequate lighting and temperature, and no hazardous or unpleasant conditions caused by noise, dust, etc. Must be able to operate standard office equipment and keyboards.

WORK LOCATION: This is a full-time hybrid/remote position; meaning, there will be required onsite training and a combination of a remote and onsite work. The ideal candidate will reside within a 30-mile radius of the office located in South Bend, IN.

Work is completed in a general office environment, sedentary in nature but may require standing and walking for up to 10% of the time. The work environment is favorable with adequate lighting and temperature, and no hazardous or unpleasant conditions caused by noise, dust, etc. Must be able to operate standard office equipment and keyboards.

Why Work at AC3?

When you become an AC3 Team member, you can expect ongoing training, support, and a work culture like no other. We offer our Full-Time Team Members medical, dental and vision health and wellness benefits, along with employer paid life insurance, long and short-term disability policies. Because our team’s health and wellness are our priority, we start new hires off with an above average paid time out plan and offer a comprehensive wellness program, including onsite biometrics and ongoing mental and physical wellness support. We also provide all Team Members with access to company sponsored financial wellness counselors, employee assistance services and the opportunity to enroll in our company-matched, 401k plan.

Come join our Winning Team!