Job detail

Insurance Verification Specialist - Greenville, SC

AdamsPlace

#Healthcare Administration #Managed Care #Medicare #Insurance Verification #Eligibility Verification #Commercial Insurance #Benefit Verification #Pre-certification

Quick overview

The specialist is responsible for verifying insurance eligibility and obtaining authorizations from Medicare, managed care, and commercial insurance. They must also assist local agencies regarding plan limits and comply with NHC HomeCare policies.

Requirements summary

Candidates must have a high school diploma and at least one year of experience in insurance benefit verification and pre-certification. Proficiency in computer data entry and strong communication skills are required.

high schoolWritten CommunicationVerbal CommunicationData EntryAttention to DetailInsurance VerificationOrganization SkillsInsurance EligibilityPre-certification

Job description

[https://nhccare.com/wp-content/uploads/2019/04/NHC_HomeCare_LOGO.png]

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]