Insurance Eligibility Specialist

Location: American Fork
Job Code: 3412
# of Openings: 1

Description

At Revere Health, we value the health of our patients above all else. As the largest independent multi-specialty physician group in Utah, our healthcare system gives patients the best in communication, quality, coordination and innovation. Founded in 1960 in Provo, Utah, Revere Health has grown to include 29 medical specialties in over 100 locations throughout Utah, Arizona and Nevada.

As one of two Accountable Care Organizations accredited by Medicare in Utah, Revere Health offers a unique, patient-oriented approach to healthcare. We strive to keep medical costs at a minimum while providing the utmost in quality healthcare.

Revere Health: let’s live better.

Status Full Time

Position:   Insurance Eligibility Specialist

Department Payer Relations - Exec Admin

Location American Fork

Qualifications:

  • Two+ years experience in medical office front desk and/or billing practices preferred.
  • Knowledge of ICD-9 and CPT codes.
  • Familiarity with third party private payor practices.
  • Must have excellent customer service skills and general computer skills.
  • Experience with practice management and/or electronic medical systems a plus.
  • Attention to detail and be able to follow through on all tasks.

Description :  

This position is responsible to work problem lists of patients whom insurance plans indicate are not covered. The Specialist will correct information and verify eligibility and coordinate with office staff regarding any issues that need to be handled at check-in.

Duties include:

  • Verify patient insurance information
  • Validate insurance coverage
  • Educate patients on insurance requirements and potential coverage denials as appropriate
  • Coordinate with physician department staff on correcting problems
  • Identify repeated issues and work with the Business Office and IT to improve insurance verification systems

Hours:  Full-time Monday-Friday during normal business hours

 





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