Insurance Claims Examiner
hace 4 semanas
Job Summary:
The Insurance Verification Agent role at Auxis involves ensuring timely and accurate updates of insurance policies in various databases, ensuring an efficient billing process for medical providers. You will play a key role in determining patient insurance status and coverage extent, and maintaining accurate patient accounts.
Key Responsibilities:
- Review patient accounts for accuracy before submitting to outside collection vendors
- Receive and review account change requests and update customer accounts accordingly
- Update insurance plan information on customer accounts
- Research vendor inquiries and respond promptly
- Review correspondence in the CWF system and take necessary actions
- Authorize affidavits related to patient billing as applicable
- Ensure accurate vendor inventory reconciliation by completing reconciliations and updating I-Plans and placements as needed
- Manage vendor onboarding and termination processes
- Provide support during vendor transitions, including Medicaid Eligibility, Early Out, Primary, and Secondary agencies
- Handle eRequest and correspondence from collection agencies
- Respond to requests for research, contractual arrangements, audits, and other tasks
Requirements:
- English-Spanish language proficiency (oral and written) at B2 level or higher
- High school diploma or equivalent
- At least 6 months of experience in data entry or customer service positions
- A genuine interest in working with customers and providing high levels of customer satisfaction
- Good communication and interpersonal skills
- Demonstrated experience in providing excellent customer service in high-volume environments
- Presentation and politeness are essential
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