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Medical Insurance Benefits / Precertification Specialist in Sandy Springs, GA at Vaco

Date Posted: 10/17/2018

Job Snapshot

Job Description

Vaco Atlanta is seeking a Benefits and Precertification Specialist for a client located in the Atlanta area. Our client has a central office and offers multiple opportunities in various locations throughout Metro Atlanta. The role is designed to support the revenue cycle department with benefits verification, precertification, authorization, etc. This is a 3-4 month temp position and the pay range is $16-$17/hr.

Job Duties:

  • Works with insurance companies to verify patient eligibility, coinsurance and deductible information
  • Discuss payment expectations and collect prepayments prior to appointments
  • Set up payment plans with patients unable to pay bills in full at time of service
  • Alerts Office Managers should a patient refuse to comply with requested payment arrangements
  • Communicate payment arrangements by putting clear and concise notes into EMR system
  • Maintains working knowledge of all insurance company updates related to precertification or predetermination
  • Gain authorizations in a timely way so that Benefits has time to contact the patients if there is an out of pocket responsibility
  • Notifies patients and doctors of any precertification denials or issues
  • Enters precertification authorizations properly into EMR system
  • Handles precertification phone calls from patients, insurance companies and hospitals
  • Maintains confidentiality by complying with HIPPA standards
  • Perform all other duties as assigned

Requirements:

  • High school diploma
  • 3+ years of benefits experience in a medical setting
  • EMR system experience; Microsoft Office Suite experience
  • Knowledge of commercial, Medicare and Medicaid insurance coverages