Insurance Verification Specialist

NHC HomeCare Panama City, FL
Definition:

Verification of insurance all payers

Qualifications:

* High School diploma

* Computer Data entry

* Minimum of 1 year experience in verification insurance benefits, pre certification – all payers

* Excellent written and verbal communication skills

* Ability to work in a fast paced environment

* Excellent organization skills and ability to pay attention to details.

Performance Requirements:

* Able to bend, stoop, squat and twist numerous times a day to perform duties of filing, typing etc.

* Able to see and hear adequately to effectively answer questions on the phone and input information on insurance websites.

* Able to speak in clear, concise voice in order to communicate effectively with insurance company case managers.

* Mental acuity to learn and apply job related training to adequately perform job requirements.

Specific Responsibilities:

* Verify benefits for home health services for all payer types, using a variety of websites, and software applications.

* Obtain pre certification for home health services, either via phone or provider portal.

* Understand benefit level and be able to assist local agencies of plan limits and requirements.

* Understand and comply with all applicable policies and procedures of NHC HomeCare.

* Performs other duties and responsibilities as required or assigned by Director of Managed Care.

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