Responsibilities
- Verify insurance eligibility and benefits for all patients prior to their appointments.
- Proficient in reading, analyzing, and interpreting CPT codes, authorization requirements, and related payer information to assess eligibility, secure approvals (including prior authorizations for neurology-specific procedures), and prevent claim denials.
- Enter, update, and maintain accurate patient and insurance details in the practice management system.
- Communicate with patients to clarify discrepancies in the insurance information and to explain their insurance coverage as it pertains to our neurology services.
- Collaborate with the billing department to address any issues that may affect the billing process.
- Work closely with insurance providers to resolve issues and gather information.
- Assist patients with questions regarding their insurance coverage and out-of-pocket costs.
- Maintain compliance with HIPAA and other federal/state regulations related to patient information and privacy.
- Enter patient information into both Phreesia and Allscripts EHR.
- Miscellaneous billing tasks as assigned.
Requirements
- At least 1 year of experience in healthcare insurance verification, medical billing, or a related role; experience in a neurology or specialty practice preferred.
- Familiarity with medical terminology, CPT, and ICD-10 codes, including those specific to neurology (e.g., for diagnostic testing and procedures).
- Proficiency with practice management software and electronic health records (EHR). We currently use Allscripts (Veradigm) EMR system.
- Strong knowledge of insurance processes, including understanding of different types of insurance plans (PPO, HMO, EPO, Medicaid/Medicare, etc.) and medical billing practices, with an emphasis on specialty care requirements.
Benefits
- Health Insurance (HMO)
- Performance Incentives
- Job Security and Stability
- Paid Training
- Inclusive Culture
- Upskilling Opportunities
- 100% Work-From-Home
- Exceptionally Supportive Team
- Opportunities for Career Growth
- Fun Work Environment
- Holiday & Overtime Pay
Additional Information
- USB Headset with Noise Cancellation feature
- Working Webcam
- Computer with at least 1.8 GHz processor and at least 4GB RAM
- Main Internet Service Speed: at least 25 Mbps cable connection
- Backup Internet Service Speed: at least 10 Mbps