Health Plus Management LLC (HPM) provides management services to medical practices specializing in the area of Pain Management and Physical Medicine & Rehabilitation. HPM manages over 50 locations throughout Long Island, NYC including the 5 boroughs, Westchester, NJ, CT and Upstate, NY. We provide management services that give the physician and therapists the opportunity to provide patient care without worrying about the administrative needs of the practice. We continually strive to support these practices by recruiting and retaining the most qualified and dedicated individuals. HPM provides an excellent path for personal and professional growth, along with competitive salary and benefits. General Job Description: This position is primarily responsible for overseeing the Verification of Insurance Benefits and Authorization Requests for our family of companies. Duties & Responsibilities: - Verify patient demographic information, insurance details, and other personal data through system applications, electronically, via websites or telephone
- Confirm and validate patient insurance coverage, including policy details and any pre-authorization requirements
- Verify and confirm that required authorizations and pre-certifications for medical procedures or treatments are obtained, ensuring compliance with insurance and regulatory requirements
- Assist in the preparation and processing of medical insurance claims, ensuring that all necessary information is accurate and complete
- Responsible for submission of any forms required by specific insurance carrier guidelines i.e.: treatment plans, OC110A, NF2, and submission on NYS Onboard portal
- Investigate and resolve discrepancies in patient information, billing, or insurance details, working to ensure accurate and timely resolution
- Support/assist team with any additional tasks as needed
Education & Training
- High School Diploma or equivalent required
- 2+ years of experience with insurance carrier verification/prior authorization process
Knowledge & Experience
- Must have a strong knowledge of payer regulations and requirements
- Knowledge of administrative and clerical procedures
- Ability to articulate effectively with insurance carrier representatives and clients or patients associated with HPM
Skills & Abilities
- Proficient in the use of computers, insurance web portals and keyboarding with knowledge of Microsoft Excel and Word required
- Detail oriented and strong team player
- Superior customer service and communication skills
- Self-starter with strong problem-solving skills
- Ability to meet high productivity and accuracy standards
Physical Requirements: - Prolonged periods of sitting at a desk and working on a computer.
- Must be able to lift up to 25 pounds at times.
Schedule: Monday-Friday, 8am - 4pm
Pay: $21/hour
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