Patient Benefits Specialist - Remote WA
Option Care Home Health LLC, Olympia, WA, United States
Job Description Summary
Responsible for performing the appropriate procedures to verify patient eligibility, coordinate benefits, run test claims, submit initial authorization and determine patient coverage/responsibility for services and testing and implementation of new plan business.
Job Responsibilities
Performs Insurance Verification of benefit coverage on all of patient’s insurance plans for each service being provided.
Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
Creates documentation required to service the patient per policy and payer guidelines.
Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self‑pay guidelines.
Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes/additions to therapy for patients that are already on service.
Basic Education and Experience Requirements High School Diploma with 2 years of experience in patient registration or revenue cycle management; 1 year of similar experience with an Associate’s Degree, LPN or Pharm Tech license.
Basic Qualifications
Basic level skill in Microsoft Excel (opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
Basic level skill in Microsoft Word (opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Preferred Qualifications & Interests
LPN, RD or Pharm Tech licensure and/or experience.
Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.
May perform other duties as assigned.
Salary Pay Range is $21.07 - $35.12.
Benefits
Medical, Dental, & Vision Insurance
Paid Time off
Bonding Time Off
401K Retirement Savings Plan with Company Match
HSA Company Match
Flexible Spending Accounts
Tuition Reimbursement
myFlexPay
Family Support
Mental Health Services
Company Paid Life Insurance
Award/Recognition Programs
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
E‑Verify® is a registered trademark of the U.S. Department of Homeland Security.
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Job Responsibilities
Performs Insurance Verification of benefit coverage on all of patient’s insurance plans for each service being provided.
Obtains and documents in the system all information related to coinsurance, copay, deductibles, authorization requirements, etc.
Creates documentation required to service the patient per policy and payer guidelines.
Determines estimated patient financial responsibility using insurance verification information and payer contracts and/or self‑pay guidelines.
Obtains initial authorization prior to admitting the patient for all services for any insurance plan that has authorization requirements.
Obtains reauthorization as necessary, reviews physician orders from pharmacy to determine if authorization is required on changes/additions to therapy for patients that are already on service.
Basic Education and Experience Requirements High School Diploma with 2 years of experience in patient registration or revenue cycle management; 1 year of similar experience with an Associate’s Degree, LPN or Pharm Tech license.
Basic Qualifications
Basic level skill in Microsoft Excel (opening a workbook, inserting a row, selecting font style and size, formatting cells as currency, using copy, paste and save functions, aligning text, selecting cells, renaming a worksheet, inserting a column, selecting a chart style, inserting a worksheet, setting margins, selecting page orientation, using spell check and/or printing worksheets).
Basic level skill in Microsoft Word (opening a document, cutting, pasting and aligning text, selecting font type and size, changing margins and column width, sorting, inserting bullets, pictures and dates, using find and replace, undo, spell check, track changes, review pane and/or print functions).
Preferred Qualifications & Interests
LPN, RD or Pharm Tech licensure and/or experience.
Previous Infusion Medical Billing/Collections or Intake/Admissions Experience.
May perform other duties as assigned.
Salary Pay Range is $21.07 - $35.12.
Benefits
Medical, Dental, & Vision Insurance
Paid Time off
Bonding Time Off
401K Retirement Savings Plan with Company Match
HSA Company Match
Flexible Spending Accounts
Tuition Reimbursement
myFlexPay
Family Support
Mental Health Services
Company Paid Life Insurance
Award/Recognition Programs
Option Care Health subscribes to a policy of equal employment opportunity, making employment available without regard to race, color, religion, national origin, citizenship status according to the Immigration Reform and Control Act of 1986, sex, sexual orientation, gender identity, age, disability, veteran status, or genetic information.
E‑Verify® is a registered trademark of the U.S. Department of Homeland Security.
#J-18808-Ljbffr