Insurance Specialist

🔥 0 minutes ago

🏄 California, Michigan, +2 more states – Remote

🏄 California – Remote 🚗 Michigan – Remote 🎸 Tennessee – Remote 🤠 Texas – Remote

💵 $20 - $35 / hour

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔒 Insurance

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Compassus

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 1979

🏥 Healthcare

⚕️ Healthcare Insurance

💊 Pharmaceuticals

Healthcare • Healthcare Insurance • Pharmaceuticals

Compassus is a national leader in providing high-quality, compassionate, person-centered care to individuals wherever they call home. Offering a continuum of integrated home-based care services, Compassus ensures that patients and their families receive the support they need to address both current and future health needs. Specializing in hospice care, palliative care, and home health services, the company aims to improve the quality of life for those with serious illnesses or differing health conditions, while fostering collaboration with healthcare providers to deliver seamless, personalized service.

📋 Description

• Model Compassus values and promote the Compassus philosophy using the 6 Pillars of Success • Uphold the Code of Ethical Conduct and promote positive working relationships across departments and with external stakeholders • Obtain and track insurance verification and authorization/re-authorization for home health care services • Complete insurance verification for new and existing patients and follow up for authorization • Contact insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications • Request authorization from insurance company case managers for specific services and parameters of care • Ensure insurance information is complete and accurate • Review insurance verification and complete authorization processes within established time frames • Maintain understanding of the revenue cycle, including insurance requirements, billing, and correspondence • Independently resolve insurance and revenue-cycle issues • Support team efforts related to authorization and verification • Communicate effectively with team members and health care professionals while maintaining confidentiality • Perform other duties as assigned

🎯 Requirements

• High school diploma or GED required • One or more years of insurance authorization experience preferred • Prior experience in the home health care insurance industry preferred • Utilization management experience and pre-certification helpful • Customer service experience desired • Ability to perform mathematical calculations involving whole numbers, fractions, decimals, rates, ratios, and percentages • Ability to read, analyze, and interpret business periodicals, professional journals, technical procedures, and governmental regulations • Ability to write reports, business correspondence, and procedure manuals • Strong written and verbal communication skills • Ability to understand, read, write, and speak English • Knowledge of insurance policies for home care authorizations • Ability to establish and maintain effective working relationships with branch staff, billing and collections, and insurance representatives • Ability to work independently and multitask • Knowledge of medical terminology • Strong negotiation and conflict management skills • Computer literacy and ability to learn new software programs • Ability to use basic office equipment • Ability to stand and walk regularly and perform manual dexterity tasks • Ability to lift and move objects up to 25 pounds • Required visual acuity including close and distance vision, color and peripheral vision, depth perception, and adjusting focus

🏖️ Benefits

• Flexible time off • Tuition reimbursement • Wellness programs • Leadership pathways • Mentorship • Personalized professional development • Supportive team using the latest tools and technologies • Recognition programs • Diversity and inclusion culture