Job detail

Insurance Verification Specialist - Greenville, SC

AdamsPlace

#Data Entry #Long-term Care #Managed Care #Medicare #Insurance Verification #Authorization #Commercial Insurance #Eligibility #Provider Portal #Home Health Services #Payer Types #Pre Certification

Full Time On Site 0-2 yrsPosted 2 months agoExpired

Expired

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Location

Greenville, South Carolina

Quick overview

This role is responsible for the accurate and timely verification of insurance eligibility and authorization for Medicare, managed care, and commercial insurance types. Specific duties include verifying benefits for home health services and obtaining necessary pre-certification via phone or provider portals.

Requirements summary

Candidates must possess a High School diploma and a minimum of one year of experience in verifying insurance benefits and pre-certification across all payers. Essential qualifications include strong computer data entry skills, excellent written and verbal communication, and superior organization with attention to detail.

high schoolAttention To DetailCommunicationOrganizationData EntryInsurance VerificationEligibility VerificationCommercial InsuranceAuthorizationManaged CareMedicarePre CertificationProvider Portal

Job description

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Insurance Verification Specialist

NHC HomeCare Greenville 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.

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]