JOB OVERVIEW
How to Apply:
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https://forms.gle/UwbRCBTnF6WVuuRP8
Rate: $500.00/month and earn up to 28,400 PHP
Schedule: Monday to Friday 8:00 am – 5:00 pm PST
Qualifications:
– Must have prior experience handling Kaiser authorizations (this is a non-negotiable requirement).
– Strong knowledge of insurance verification processes for home health services, including Medicare Advantage and commercial insurance.
– Experience with Wellsky Kinnser software for documentation and patient care coordination.
– Proficiency in insurance verification, obtaining prior authorizations, and resolving payer issues.
– Excellent communication and customer service skills to interact with patients, caregivers, and insurance companies.
– Familiarity with patient demographics and managing payer changes in healthcare systems.
– Ability to multitask and handle a high volume of cases, with attention to detail and accuracy.
– Knowledge of home health services and understanding of cost and benefits related to these services.
– Strong problem-solving skills and the ability to seek assistance when necessary.
– High school diploma or equivalent; additional education or certifications in medical billing or healthcare administration are a plus.
Responsibilities:
– Handle insurance verification for patient admissions and recertification, ensuring accuracy and timeliness.
– Initiate Kaiser authorizations and maintain accurate documentation with minimal errors.
– Collaborate with the Billing and Patient Care teams to resolve insurance-related issues.
– Enter and update patient demographics and insurance information in the system, including new payer setups.
– Coordinate with admission and scheduling departments to ensure patients receive timely care.
– Obtain prior authorizations as needed and follow up on case statuses to ensure compliance.
– Re-verify out-of-network benefits at the start of each month and document the findings.
– Provide detailed documentation of insurance plan benefits and authorizations in the Wellsky Kinnser software.
– Communicate with insurance companies to obtain, verify, and update patient insurance information, ensuring all details are accurate and current.
– Act as part of the patient care team, supporting clinical staff with cost and benefits knowledge related to home health services.
– Assist with reporting and data gathering for the department as needed, contributing to overall operational efficiency.
– Maintain up-to-date records and handle payer changes efficiently within the EHR system.
– Provide prompt and effective customer service to patients and their families regarding authorization and insurance concerns.
SKILL REQUIREMENT
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