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Manage the daily functions of the Insurance Verification area including verification of insurance coverage, updating patient demographics, securing reimbursement-related paperwork, and generating price/coverage quotes. Responsibilities also include determining medical vs pharmacy benefits, reviewing benefits with patients, obtaining prior authorizations, and coordinating financial assistance forms. Must have excellent communication, organization, time management skills, and knowledge of medical terminology.

Manage daily functions of Insurance Verification area, including verifying insurance coverage, updating patient demographics, and securing reimbursement paperwork. Assist in case management, price negotiation, and training new employees. Prioritize client satisfaction, verify insurance benefits, and assist in price negotiation with case managers. Requires Associate's degree and 2-3 years of experience in home IV therapy or insurance verifications.

Provide support and assistance to RN Intake Coordinators by entering referral information, providing clerical support, and acting as a liaison between Intake and referral sources. Maintain patient confidentiality and ensure accurate transfer of patient insurance information. Must have HS diploma or GED, excellent communication and organizational skills, knowledge of medical terminology, and proficiency in Microsoft Office products.

Seeking a dedicated Medical Billing Specialist for the Revenue Cycle Team responsible for billing and collections of insurance claims. Key responsibilities include understanding third party billing guidelines, identifying root causes of issues, ensuring timeliness and accuracy of billing, processing patient and insurance changes, and performing other duties as assigned. Required qualifications include high school diploma or equivalent, one to three years of related work experience, and knowledge in medical billing practices and reimbursement.

Develop and execute health system partner infusion implementation project specification, milestones, and initiatives. Provide regular project updates and communication strategies. Monitor project milestones and deadlines. Manage payer portals for clients during and after implementation. Strong healthcare acumen and analytical skills required.

Responsible for obtaining initial and renewal authorizations for enteral, infusion, and/or specialty therapies from insurance companies. Collaborate with clinicians regarding supporting medical documentation in accordance with formulary guidelines and manage the quality review of requested prior authorizations.

Participate in monthly accounting activities, prepare financial statements, reconcile accounts, analyze financial statements, assist in monthly reporting, interact with management teams, maintain confidentiality, handle multiple priorities, and perform other accounting duties as assigned.