Insurance Verifier CFD Job at Platinum Dermatology Partners
Platinum Dermatology Partners is seeking an experienced Insurance Verification Specialist for our Center for Dermatology Practice in Phoenix, Arizona.
Responsibilities/Duties/Functions/Tasks:
- Review charges, patient information, and insurance information prior to billing to minimize underpayment, denials and re-bill attempts.
- Knowledge of drug cards, medical insurance terminology, medical benefits, and billing process.
- Experience with patient assistance and government programs.
- High skills in drafting and submitting complex insurance correspondence.
- Ensures proper account documentation which is clear, concise and includes all pertinent information.
- Consistently follows established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions.
- Makes appropriate and necessary corrections to patient account information after verification from the facility as needed to ensure timely correction and submission of claim.
- Provide a compassionate and people-centric experience for the patients.
- Education: High school diploma or GED.
- Experience: Minimum two-four years of experience in a doctor’s office, hospital setting, or CBO. Prior dermatology office experience is not required, but preferred. Experience with completing prior authorizations for Superficial Radiation Therapy preferred but not required.
- Quality written and verbal communication skills.
- Superior computer skills.
- Familiar with medical dermatology terms.
- Professional in mannerisms.
- Able to demonstrate compassion and patience in dealing with others, patients and co-workers alike.
- Able to prioritize tasks, understand provider’s and management’s instructions, and know when to seek information or advice. Immediate and appropriate escalation of trends and issues to management which impact cash, aging and processes.
- Maintains or exceeds 95% of established productivity goals and quality standards.
- Follows time-keeping and attendance policy daily.
- Follows and maintains patient, account and client confidentiality at all times. Adheres to HIPAA and Compliance Policy Guidelines.
- Completes projects as assigned with detailed documentation on trends and issues to management.
- Valid Driver's License.
Please note, any offer of employment is contingent upon successful completion of a pre-employment background and credit check. A record with prior conviction is not an absolute bar to employment.
No phone calls or agencies, please.
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