HireLevel powered by Extra Help is seeking a Verification Specialist for our client located in Mt. Vernon, IL. The ideal candidate would have experience working with verification, documentation and medical records.
Job Type: Full Time
Pay Rate: $10/hour
Similar Positions: General Office, Clerical Support, Data Entry
Job Duties for the Documentation Specialist:
Verify eligibility and determine patient benefit coverage and product allowable.
Obtain and confirm the necessary dispensing order/ documentation on file.
Complete pre-certification/authorization. Obtain additional information such as medical necessity, letter of medical necessity or charts notes to submit for prior authorization.
Confirm Authorization/Orders are qualified prior to shipping. Release order for shipping once verification and necessary shipping requirements have been met.
Work with vendor billing and reimbursement services to resolve any verification issues as appropriate.
Keep updated on all benefit changes for third party insurance carriers within their area of responsibility.
Establish and maintain relationships with physician offices and other referral sources.
Maintain confidentiality of all information.
Job Requirements for the Documentation Specialist:
Must have at a high school diploma or equivalent
Experience with MS Office Suite and SAP.
Experience working with verification, documentation and/or medical records.
Experience using time management skills such as prioritizing/organizing and tracking details and meeting deadlines.
Working knowledge of HIPAA Privacy and Security Rules and CMS security requirements.
Working knowledge of Medicare, Medicaid and Commercial payers, its rules and reimbursement.
Experience applying knowledge of medical terminology and verification.
Certified Coder or experience with medical coding specific to ICD-9/ ICD-10.
Must meet drug screening and background requirements