Overview:

HealthPro Heritage has a great Remote Insurance Verification Specialist Opportunity! The RIV Specialist is a key role in ensuring that patients benefits are properly verified for therapy visits. This position is integral to proper RCM function and revenue protection. This position requires great customer service skills, teamwork and the ability to communicate effectively with patients, therapists, insurance company representatives and occasionally Physician offices and/or Home Health centers. The RIV Specialist helps to communicate benefits eligibility to Program Managers and patients. They are responsible to ensure the appropriate follow up and communication with Therapy providers and/or vendors. This position will be responsible for insurance verifications RIV and will report to the Team Lead, Revenue Cycle Manager, Director of Revenue Cycle.

• Full-Time
• Fully Remote
• Prior knowledge and experience with CPT and ICD-10 codes is strongly preferred.
• 1 – 2 years’ experience with medical insurance verification and authorization experience a plus.

HealthPro Heritage has a great Remote Insurance Verification Specialist Opportunity! The RIV Specialist is a key role in ensuring that patients benefits are properly verified for therapy visits. This position is integral to proper RCM function and revenue protection. This position requires great customer service skills, teamwork and the ability to communicate effectively with patients, therapists, insurance company representatives and occasionally Physician offices and/or Home Health centers. The RIV Specialist helps to communicate benefits eligibility to Program Managers and patients. They are responsible to ensure the appropriate follow up and communication with Therapy providers and/or vendors. This position will be responsible for insurance verifications RIV and will report to the Team Lead, Revenue Cycle Manager, Director of Revenue Cycle.

• Full-Time
• Fully Remote
• Prior knowledge and experience with CPT and ICD-10 codes is strongly preferred.
• 1 – 2 years’ experience with medical insurance verification and authorization experience a plus

Responsibilities:

• Performs eligibility verification by entering ticket information into the Vendor system. Obtaining verification documents and uploading them appropriately in the EHR System.
• Verifying insurance benefits via respective payer websites and calling insurances directly.
• Ensures patient financial/consent to treat/HIPPA forms are signed and uploaded to the EHR.
• Enters comments in the EMR/RIV tickets that are clear and concise regarding coverage dates and any policy limits, deductibles, and co-pays, etc.
• Coordinate with providers to ensure all appropriate insurance documentation is uploaded for accurate benefit/eligibility checks.
• Meet daily, weekly and monthly productivity requirements.
• Complete special projects as assigned by the Director of Revenue Cycle, RCM Manager and RIV Team Lead