Verification Specialist at PT Solutions

, , United States -

Full Time

Start Date

Immediate

Expiry Date

08 Mar, 26

Salary

0.0

Posted On

08 Dec, 25

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Communication Skills, Organizational Skills, Medical Reimbursement, Interpersonal Skills, ICD-10 Codes, CPT Codes, Outpatient Billing Procedures, Patient Registration, Authorization Processes, Telephonic Support, Documentation Skills, Team Coordination, Continuing Education, Productivity Reporting, Policy Preparation

Industry

Hospitals and Health Care

Description

Position Summary: Ensures complete, accurate, and timely verification of insurance benefits for patient registrations (both private clinic and hospital clinic); assists clinic staff with completion of insurance benefit verification for all patient evaluations and re-evaluations. This position is also responsible to pre-certify/pre-authorize outpatient therapy services. Essential Functions: • Obtains necessary information to initiate the insurance verification process. • Contacts insurance companies to verify coverage, limits, etc. as directed by policy. • Initiates tracking forms for outpatients based on patient benefits available. • Obtains reports and treatment notes when needed for insurance authorization and payment. • Assists with outpatient registrations and/or check-ins when needed. • Prepares daily productivity report and submits it to the business office manager. • Assists in the preparation of policies and procedures manuals for benefits verification. • Expands knowledge of insurance benefits and program changes related to Medicare, Medicaid, and commercial carriers by reviewing literature, attending seminars, and taking advantage of continuing education opportunities. • Communicate and cooperate with clinic personnel. • Obtain patient, billing and insurance information in order to maintain current and accurate information in patient files and billing system. • Coordinate with clinic personnel as is necessary to ensure their understanding of patients’ insurance benefits and to secure appropriate reimbursement for services rendered. • Perform telephonic support for online authorization of therapy services • Provide direct support to clinic personnel regarding utilization, authorization, and referral activities • Become proficient in the use of ICD-10 and CPT codes • Contact clinics with authorization, denial, and appeals process information • Performs additional duties deemed necessary to the position and its function. • Assist with end of month corrections on the back end with hospital partners. Required Skills & Abilities: • Ability to type 60 words per minute preferred. • Strong interpersonal, oral (includes telephone skills) and written communication skills. • Good organizational skills and an ability to prioritize to meet deadlines. • Complete understanding of medical reimbursement and terminology. • Ability to work with disabled individuals. • Working knowledge of all standard office equipment. • Working Knowledge of insurance and outpatient billing procedures. Expanding Access to Quality Care At PT Solutions, we’re more than colleagues; we’re a tight-knit community united in our mission to expand access to quality care. Our commitment to you is evident in our industry-leading professional development opportunities. From ongoing evidence-based clinical education to dedicated mentorship opportunities and an APTA-accredited Orthopaedic Residency Program, we propel our clinicians toward excellence in physical therapy, occupational therapy, speech-language pathology, and athletic training. As we aim to be the go-to rehabilitation provider, we seek committed professionals eager to join us in that mission. A career with PT Solutions is an opportunity to shape the industry and make a lasting impact. Let’s go further together and transform care. Join the #PTSLife today! To see what #PTSLife is like, visit Instagram, Facebook, and LinkedIn.

Responsibilities

The Verification Specialist is responsible for ensuring accurate verification of insurance benefits for patient registrations and pre-certifying outpatient therapy services. This includes contacting insurance companies, maintaining patient files, and assisting clinic staff with insurance-related inquiries.