Byram Healthcare, Senior Verifier in Salt Lake City, UT at Byram Healthcare

Date Posted: 11/15/2018

Job Snapshot

Job Description

POSITION SUMMARY

Verifies insurance coverage, performs administrative activities associated with maintenance of medical documentation and medical records.  An expert in all areas of their role, and must be able to effectively assist other staff with complex and difficult issues.



ESSENTIAL JOB FUNCTIONS: 

1.      Answers questions from customers, clerical staff, insurance companies, and physician offices.

2.      Able to make outbound calls to obtain appropriate documentation for reimbursement of orders shipped.

3.      Identifies and resolves patient complaints.

4.      Verifies customer benefits via phone, fax, and web portal.

5.      Reviews and approves documentation received by third parties, for submission to payor's.

6.      Documents activities in ERP system in an efficient, accurate and timely manner.

7.      Determines most effective and economical means of completing duties.

8.      Assists other staff with difficult and complex issues.

9.      Consistently meets organizational goals.

10.  Provides solutions to account issues utilizing experience and judgment.

11.  Conducts complex work important to the organization.

12.  Contributes to team objectives and outcomes as guided

SUPPLEMENTAL JOB FUNCTIONS:  

  • Performs additional duties as directed.


Qualifications

EDUCATION & EXPERIENCE REQUIRED:  

  • Bachelor's Degree
  • Five or more years billing and collecting experience

KNOWLEDGE SKILLS & ABILITIES:

 

  • Highly-skilled and proficient
  • Works on complex projects
  • Must possess excellent communication skills and the ability to practice proper phone and email etiquette
  • Skilled in answering a telephone in a pleasant and helpful manner
  • Ability to read, understand and follow verbal and written instructions
  • Ability to train on policies and procedures
  • Proficient in Microsoft Office: Word, Outlook, Excel, PowerPoint
  • Knowledgeable of Medical Payor's and requirements for approvals and payments.  Expert in medical terminology and insurances HCPC/ICD-9 codes


ADDITIONAL REQUIREMENTS:

  • Little or no traveling required (less than 10%)
  • May work extended hours on occasion

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