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Insurance Verification Representative

       Full Time

Calabasas, CA

We have a terrific opportunity for an Insurance Verification Representative who wants to join our team in our Calabasas office (this position is not remote).

What You’ll Do:

  • Verify medical insurance benefits with accuracy and timeliness to obtain benefit information, determining insurance compatibility with health-care provider for DME

  • Navigate through multiple online insurance verification systems to obtain required information for patient intake

  • Obtain verification information from private insurance companies, Medicare, and Medicaid

  • Obtain re-verification of existing patient insurance coverage to determine if  insurance benefit plan considers selected products appropriate based on patient need.

  • Obtain authorizations if required by an insurance carrier for DME services from appropriate department to ensure accurate claims processing.

  • Respond and follow-up on daily incoming emails from other departments to resolve questions related to patient billing, insurance verification, posting, etc.

  • Handle frequent daily incoming calls from insurance companies inquiring about patient questions, documentation requests, and miscellaneous requests as needed

  • Ensure accurate entry of patient insurance information into patient database

  • Proactively request any necessary documentation prior to making verification or notification calls

  • Prioritize daily workload from daily reports

  • Adhere to current departmental processes and have a thorough understanding of any changes that are implemented

  • Maintain individual and departmental goals to achieve successful metrics

  • Other duties as assigned

How You’ll Stand Out:

  • Ability to work in a fast-paced environment, prioritizing workload with frequent interruptions

  • Ability to communicate clearly both verbally and in writing

  • Excellent problem-solving and troubleshooting skills

  • Demonstrated attention to detail and follow up

  • Working knowledge of MS Office Suite

  • High School graduate or GED required

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