UNKNOWN

FEED

OTHER

This position is not only responsible for assisting new patients by verifying insurance coverage and explaining their insurance benefits, but also for obtaining authorization/re-authorizations prior to a patient starting therapy, as well as coordinating billing processes to facilitate optimal patient care. Collaborative Approach: Collaborate effectively with healthcare providers, therapists, and other clinic staff to ensure seamless coordination of care and accurate documentation of insurance-related matters.

<div>Job Summary: The Central Verification Specialist for Texas Work Comp and VA is a vital position within our organization. This position is not only responsible for assisting new patients by verifying insurance coverage and explaining their insurance benefits, but also for obtaining authorization/re-authorizations prior to a patient starting therapy, as well as coordinating billing processes to facilitate optimal patient care. This role requires exceptional attention to detail, organizational skills, and the ability to communicate effectively with patients, insurance providers, and other healthcare professionals. </div><div>Duties:</div><ul><li>Insurance Verification: Conduct thorough verification of patients' insurance coverage to determine eligibility, benefits, and coverage limitations. Verify demographic information, policy details, copayments, deductibles, and any specific requirements or restrictions.</li><li>Prior Authorization: Obtain prior authorizations from insurance providers for prescribed physical therapy services. Collaborate with healthcare providers and therapists to gather necessary documentation and submit authorization requests within specified timeframes. Monitor and track the status of authorizations, ensuring timely approvals.</li><li>Billing Coordination: Collaborate with the billing department to ensure accurate and efficient processing of claims. Provide insurance-related information and documentation to support the billing process, including claims forms, treatment plans, and authorization details. Resolve any insurance-related issues or discrepancies that may arise.</li><li>Communication and Patient Education: Interact with patients, their families, and insurance representatives to explain insurance coverage, benefits, and any financial responsibilities. Answer inquiries regarding insurance-related matters and ensure patients are aware of their coverage details, including copayments, deductibles, and out-of-pocket expenses.</li><li>Documentation and Record Keeping: Maintain detailed and accurate records of insurance verifications, authorizations, and related communication. Update patient files and electronic health records (EHR) with pertinent insurance information. Adhere to privacy regulations and maintain the confidentiality of patient data.</li><li>Stay Informed on Insurance Policies: Stay up to date with changes in insurance policies, regulations, and coverage guidelines. Attend training sessions, workshops, or conferences to enhance knowledge and understanding of insurance processes and industry trends.</li><li>Collaborative Approach: Collaborate effectively with healthcare providers, therapists, and other clinic staff to ensure seamless coordination of care and accurate documentation of insurance-related matters. Foster positive working relationships with insurance providers to facilitate efficient claims processing.</li></ul><div> Qualifications:</div><div>To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. </div><div>Must possess excellent time management skills:</div><ul><li>Ability to prioritize tasks/projects.</li><li>Ability to build rapport with our patients over the phone.</li><li>Thorough knowledge of the Physical Therapy field, as well as the skillsets and specialties of the therapists within our practice.</li><li>Excellent oral and written communication skills.</li><li>Strong analytical, organizational, and interpersonal skills.</li><li>Ability to organize and prioritize work for multiple tasks/projects.</li><li>Ability to work with clients and staff to build positive relationships, along with good communication and affinity.</li><li>Ability to be a team player and team builder.</li><li>Thorough knowledge of business English, spelling, punctuation, and proofreading.</li><li>Ability to type at least 45 wpm.</li><li>Must have sufficient knowledge of basic computer entry skills, word processing and spreadsheet computer programs, and be able to input data as assigned.</li><li>Proven experience in insurance verification and authorization processes, preferably within a healthcare or physical therapy setting.</li><li>Knowledge of medical terminology, coding systems (such as CPT and ICD-10), and insurance billing procedures.</li><li>Familiarity with various insurance plans, including Medicare, Medicaid, private insurers, and managed care organizations.</li><li>Proficient in using electronic health records (EHR) systems and billing software.</li><li>Excellent attention to detail, organizational skills, and ability to manage multiple tasks simultaneously.</li><li>Excellent communication and interpersonal skills to effectively interact with patients, insurance representatives, and healthcare professionals.</li><li>Ability to work independently and as part of a team, demonstrating a proactive and problem-solving attitude.</li><li>Understanding of HIPAA regulations and commitment to maintaining patient confidentiality.</li><li>Must be a strong team player, energetic, with a focus on excellent customer service.</li><li>Successful completion of on-the-job training required.</li><li>The ability to keep good records and establish/follow a system.</li><li>High school diploma or equivalent required, but additional education or certification in medical billing and coding, or healthcare administration, is preferred.</li></ul><div> We are looking for dedicated individuals who are committed to maintaining high standards of accuracy and integrity within our organization. If you are detail-oriented, proactive, and eager to contribute to our mission, we encourage you to apply for the Central Verification position.</div><div> Job Type: Full-time.</div><div> Benefits:</div><ul><li>Dental insurance.</li><li>Health insurance.</li><li>Paid time off.</li></ul><div> Work Location: In Office.</div>

Sports Rehab & Physical Therapy

WC/VA Authorization Specialist

Analysis Skills

Billing

Billing Software

Claims Processing

Co-Payments

Communication Skills

Conferences

Current Procedural Terminology (CPT)

Data Entry

Demographics

Detail Oriented

Documentation

English Language

Establish Priorities

Financial Management

HIPAA (Health Insurance Portability and Accountability Act)

Health Physics

Healthcare

Healthcare Administration

Healthcare Providers

High School Diploma

ICD-10

Industry/Trade Analysis

Insurance

Insurance Claims

Insurance Documentation

Interpersonal Skills

Managed Care

Medicaid

Medical Billing

Medical Coding

Medical Record System

Medical Records

Medical Terminology

Medicare

Multitasking

Organizational Skills

Patient Care

Patient Care Authorizations

Patient Confidentiality

Patient Education

Physical Therapy

Presentation/Verbal Skills

Privacy Regulations

Problem Solving Skills

Process Improvement

Process Management

Proofreading

Record Keeping

Regulations

Spreadsheets

Support Documentation

Team Player

Time Management

Treatment Plan

Word Processing

Writing Skills

Betterteam

Your main responsibilities will include greeting patients, scheduling appointments, managing phone calls, and maintaining patient records. The ideal candidate will possess excellent organizational skills, attention to detail, and the ability to multitask in a fast-paced environment.

We are seeking a professional and compassionate Medical Receptionist to join our healthcare team. As the first point of contact, you will provide exceptional customer service to patients, staff, and visitors. Your main responsibilities will include greeting patients, scheduling appointments, managing phone calls, and maintaining patient records. The ideal candidate will possess excellent organizational skills, attention to detail, and the ability to multitask in a fast-paced environment. Responsibilities:<ul><li>Greet patients and visitors in a warm and friendly manner, ensuring a positive experience</li><li>Answer and manage incoming phone calls, including screening and directing calls as appropriate</li><li>Schedule appointments and maintain updated calendars for medical professionals</li><li>Verify patient demographics and insurance information and update records as necessary</li><li>Collect copayments and process payments, ensuring accuracy and confidentiality</li><li>Maintain tidy and organized reception area, ensuring a professional and welcoming atmosphere</li><li>Coordinate patient flow and ensure timely check-ins and check-outs</li><li>Assist with administrative tasks such as filing, faxing, and scanning documents</li><li>Collaborate with medical staff and other administrative personnel to ensure smooth operations</li><li>Adhere to HIPAA regulations and maintain patient confidentiality at all times</li></ul>Qualifications:<ul><li>High school diploma or equivalent</li><li>Proven experience as a medical receptionist or in a similar role</li><li>Knowledge of medical terminology, procedures, and insurance verification</li><li>Proficient in using electronic medical record (EMR) systems</li><li>Strong customer service and communication skills, both written and verbal</li><li>Excellent multitasking and organizational abilities</li><li>Ability to work well under pressure in a fast-paced environment</li><li>Attention to detail and accuracy in managing patient records and processing payments</li><li>Familiarity with medical coding and billing practices is a plus</li><li>Ability to maintain confidentiality and exercise discretion</li></ul> We offer competitive compensation packages and benefits, as well as opportunities for professional growth and development. If you are a dedicated and enthusiastic individual looking to contribute to a dynamic healthcare team, we would love to hear from you. Apply today to join our team as a Medical Receptionist.

Texas Health Care PLLC

Bilingual Medical Receptionist

Administrative Skills

Calendar Management

Customer Support/Service

Electronic Medical Records

Fax Machines

Medical Office Administration

Medical Treatment

Multilingual

Patient Assessment

Records Management

Telephone Skills

clearcompany

ADAPTED_NOW

HOUR

Responsibilities : The successful candidate will review, research, resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. A successful candidate should have, but not be limited to the following skills: Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.

Software Guidance & Assistance, Inc., (SGA), is searching for a Denial Prevention Specialist​ for a Contract assignment with one of our premier Healthcare clients in Weatherford, TX . This is primarily a remote position, however there are times the employee might have to come into the office for training, team building events or as requested by their supervisor or manager Responsibilities :<ul><li> The successful candidate will review, research, resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. A successful candidate should have, but not be limited to the following skills:</li><li> Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.</li><li> Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.</li><li> Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid</li><li> Preparing/Submitting appeals related to denied services</li><li> Analyze payer denials by denial groupers and submit appeals.</li><li> Contact patients and/or third party payers to resolve outstanding insurance balances and underpaid claims.</li><li> Make necessary adjustments as required by plan reimbursement.</li><li> Functions as a liaison between clinical departments and MSRDP management team.</li><li> Completes special projects as assigned.</li><li> Performs other duties as assigned.</li></ul> Required Skills: <ul><li> 2 years experience in medical claims recovery and/or collections required</li><li> Work requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.</li><li> Work requires good organizational, flexibility and analytical skills when resolving more complex unpaid claims.</li><li> Work requires knowledge of billing and/or collections and regulations.</li><li> Work requires understanding of the requirements of Medicaid, Medicare and insurance billing.</li><li> Work requires a self-starter, with ability to work well as part of a team and independently.</li><li> Work requires ability to communicate effectively with patients, insurance companies, clinical staff and management.</li><li> Work requires ability to handle large volumes of work.</li><li> Work requires ability to work in a fast paced, production oriented environment.</li><li> Work requires excellent customer service skills.</li><li> Work requires one to exhibit excellent work ethics and commitment to job responsibilities.</li><li> Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.</li><li> Work requires one to possess quick and accurate alpha/numeric data entry skills.</li><li> Work requires presence of a positive image that reflects well on the organization.</li><li> Work requires strong written and verbal communication skills.</li></ul> Preferred Skills:<ul><li> Associate's Degree</li><li> Work requires knowledge of CMS 1500, ICD-9, and CPT coding is preferred.</li></ul> SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at <a href="https://sgainc.com/" rel="nofollow noopener noreferrer" target="_blank"> https://sgainc.com/</a> . SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company <a href="https://www.sgainc.com/eeo/" rel="nofollow"> EEO page</a> to request an accommodation or assistance regarding our policy. #LI-TJ1

Software Guidance & Assistance

Denial Prevention Specialist

Software Guidance & Assistance, Inc., (SGA), is searching for a Denial Prevention Specialist for a Contract assignment with one of our premier Healthcare clients in Weatherford, TX . This is primarily a remote position, however there are times the employee might have to come into the office for training, team building events or as requested by their supervisor or manager Responsibilities :<ul><li> The successful candidate will review, research, resolve claim denials and appeals for various insurance companies while identifying payment trends in an effort to maximize collections. A successful candidate should have, but not be limited to the following skills:</li><li> Capable of reviewing Explanation of Benefits (EOB) from payors to determine how the claims were managed.</li><li> Contacting insurance carriers to check on the status of claims, appeals, and insurance verification.</li><li> Knowledgeable with payors including Managed Care, Commercial, Medicare, and Medicaid</li><li> Preparing/Submitting appeals related to denied services</li><li> Analyze payer denials by denial groupers and submit appeals.</li><li> Contact patients and/or third party payers to resolve outstanding insurance balances and underpaid claims.</li><li> Make necessary adjustments as required by plan reimbursement.</li><li> Functions as a liaison between clinical departments and MSRDP management team.</li><li> Completes special projects as assigned.</li><li> Performs other duties as assigned.</li></ul> Required Skills: <ul><li> 2 years experience in medical claims recovery and/or collections required</li><li> Work requires experience in Medical Billing, Accounts Receivables, and/or Collections within a healthcare or insurance environment.</li><li> Work requires good organizational, flexibility and analytical skills when resolving more complex unpaid claims.</li><li> Work requires knowledge of billing and/or collections and regulations.</li><li> Work requires understanding of the requirements of Medicaid, Medicare and insurance billing.</li><li> Work requires a self-starter, with ability to work well as part of a team and independently.</li><li> Work requires ability to communicate effectively with patients, insurance companies, clinical staff and management.</li><li> Work requires ability to handle large volumes of work.</li><li> Work requires ability to work in a fast paced, production oriented environment.</li><li> Work requires excellent customer service skills.</li><li> Work requires one to exhibit excellent work ethics and commitment to job responsibilities.</li><li> Work requires one to possess a professional and courteous demeanor while being assertive and confident in their collection efforts.</li><li> Work requires one to possess quick and accurate alpha/numeric data entry skills.</li><li> Work requires presence of a positive image that reflects well on the organization.</li><li> Work requires strong written and verbal communication skills.</li></ul> Preferred Skills:<ul><li> Associate's Degree</li><li> Work requires knowledge of CMS 1500, ICD-9, and CPT coding is preferred.</li></ul> SGA is a technology and resource solutions provider driven to stand out. We are a women-owned business. Our mission: to solve big IT problems with a more personal, boutique approach. Each year, we match consultants like you to more than 1,000 engagements. When we say let's work better together, we mean it. You'll join a diverse team built on these core values: customer service, employee development, and quality and integrity in everything we do. Be yourself, love what you do and find your passion at work. Please find us at <a href="https://sgainc.com/" rel="nofollow noopener noreferrer" target="_blank"> https://sgainc.com/</a> . SGA is an Equal Opportunity Employer and does not discriminate on the basis of Race, Color, Sex, Sexual Orientation, Gender Identity, Religion, National Origin, Disability, Veteran Status, Age, Marital Status, Pregnancy, Genetic Information, or Other Legally Protected Status. We are committed to providing access, equal opportunity, and reasonable accommodation for individuals with disabilities in employment, and our services, programs, and activities. Please visit our company <a href="https://www.sgainc.com/eeo/" rel="nofollow"> EEO page</a> to request an accommodation or assistance regarding our policy. #LI-TJ1

SGA Inc.

SGA Inc

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WC/VA Authorization SpecialistSports Rehab & Physical Therapy

Bilingual Medical ReceptionistTexas Health Care PLLC

Denial Prevention SpecialistSoftware Guidance & Assistance

Denial Prevention SpecialistSGA Inc.

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