Job detail

Insurance Verification Specialist - NHC HomeCare, Florida Regional Office

AdamsPlace

#Healthcare Administration #Managed Care #Medicare #Insurance Verification #Commercial Insurance #Pre-certification #Provider Portal #Home Health Services

Quick overview

Responsible for the accurate and timely verification of insurance eligibility and authorization from Medicare, managed care, and commercial insurance. This includes obtaining pre-certifications for home health services via phone or provider portals.

Requirements summary

Requires a high school diploma and at least one year of experience in insurance benefit verification and pre-certification across all payer types. Candidates must possess strong computer data entry skills and the ability to work in a fast-paced environment.

high schoolWritten CommunicationVerbal CommunicationData EntryAttention to DetailInsurance VerificationOrganization SkillsBenefit VerificationPre-certification

Job description

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Insurance Verification Specialist for our FL Regional Office in Panama City, FL

NHC HomeCare Florida Regional Office is looking for an Insurance Verification Specialist to join our team. This position will be responsible for accurate and timely verification of insurance eligibility and authorization from Medicare, managed care, and commercial insurance.

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.

National HealthCare Corporation is recognized nationwide as an innovator in the delivery of quality long-term care. Our goal is to provide a full range of extended care services, designed to maximize the well-being and independence of patients of all ages. We are dedicated to meeting patient needs through an interdisciplinary approach combining compassionate care with cost-effective health care services.

The NHC environment is one of encouragement and challenge ... innovation and improvement ... teamwork and collaboration ... and honesty and integrity. All NHC employees are committed as partners, not only to the health of our patients, but to the well-being of the communities we serve.

If you are interested in working for a leader in senior care and share NHC's values of honesty and integrity, please apply today and find out more about us at nhccare.com/careers [https://nhccare.com/careers]