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.