Job Description:
Communicates benefit information to patients, physicians and insurers who provide insurance verification as required.
Interprets medical and insurance information for clients.
Responsible for case management with patients, physicians and insurers primarily over the telephone.
Provides detailed, technically complex information to patients to facilitate the beneficial therapeutic relationship between the patient, provider and company.
Interacts with sales, information technology and service, may interact with manufacturing.
Essential Duties and Responsibilities:
- Answers inbound and outbound calls, research, and identifies insurance to ensure compliant/proper account resolution.
- Verifies insurance eligibility and follows coordination of benefits guidelines.
- Faxes accurate and thorough Pre-Authorization Request Letters.
- Determines revenue amounts based on allowable, benefits, unit price, payer guidelines, copayment and con...