Insurance Verifier - Rotech Healthcare Inc.

Rotech Healthcare Inc. is a national leader in providing ventilators, oxygen, sleep apnea treatment, wound care solutions, diabetic solutions and home medical equipment.  We help patients lead a more comfortable and productive life by keeping them engaged in their care and empowering them to manage their health and treatment at home. Rotech provides high quality medical products, services and outstanding customer care through hundreds of locations across 45 states. For additional information, visit our company homepage Rotech.com

Job Summary

We are seeking a dedicated Insurance Verifier to join our team. This position services patient needs by verifying insurance coverage. Performs administrative activities associated with maintenance of medical documentation and medical records. In the State of NY this position pays between $18/hr - $23/hr depending on related experience

Essential Job Duties and Responsibilities

(Reasonable accommodations may be made to enable individuals with disabilities to perform these essential functions. Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.)

• Answers questions from customers, clerical staff, insurance companies, and physician offices
• Assures member's insurance policies (past and present) are accurately reflected in the AS400
• Demonstrates knowledge of insurance plan guidelines and the use of electronic systems for verification purposes
• Explains and collects co-pays, deductibles and other patient balances when needed
• Identifies and resolved patient complaints
• Makes patients fully aware of financial obligations and eligibility for programs that may provide financial aid
• Provide patient education regarding third-party coverage and liabilities
• Reviews and approves documentation received by third parties, for submission to payer's for reimbursement of orders shipped
• Updates tracking system with accurate and relevant information
• Uses electronic systems and payer websites for verification of insurance, authorizations, and referrals
• Verify customer benefits via phone, fax, and/or web portal
• Performs other duties as assigned

Employment is contingent on

• Background investigation (company-wide)
• Drug screen (when applicable for the position)
• Valid driver’s license in state of residence with a clean driving record (when applicable for the position)

Required Education and/or Experience

• High school diploma or GED equivalent, required

Preferred Education and/or Experience

• One year experience in a professional setting, preferably healthcare
• Familiarity with medical terminology and insurances HCPCS/ICD-I O codes
• Familiarity with Medicare, Medicaid and/or private insurance guidelines or policies

Skills and Competencies

• Accurately perform simple mathematical calculations
• Effectively communicate in English; both oral and written
• Interpret a variety of communications (verbal, non-verbal, written, listening and visual)
• Maintain confidentiality, discretion and caution when handling sensitive information
• Multi-task along with attention to detail
• Self-motivation, organized, time-management and deductive problem solving skills
• Work independently and as part of a team

Physical Demands

• Lift and carry office equipment at times around the office
• Requires sitting, walking, standing, talking and listening
• Requires close vision to small print on computer and/or tablet and paperwork

Machines, Equipment and Technical Abilities

• Email transmission and communication
• Internet navigation and research
• Microsoft applications; Word and Excel
• Office equipment; fax machine, copier, printer, phone and computer and/or tablet

Benefits

• 401k
• Medical, Dental and Vision
• Life Insurance and Disability
• Generous Paid Time Off and Paid Holidays
• Employee Discount Program
• Employee Recognition Program
• Bonus and Incentive Opportunities 
• Mileage reimbursement (when applicable for the position)
• Telephone reimbursement (when applicable for the position)

Make the Right Move and Submit your Resume Today! The hiring manager reviews resumes and contacts applicants that have related experience to the applied position. To view the status of a position that you submitted your profile to, Sign into your account. All positions are posted for a min of 5 days and positions are opened until filled with a qualified applicant, generally no greater than 200 days. We appreciate your interest in Rotech Healthcare Inc.

Equal Opportunity Employer of Minorities, Females, Protected Veterans and Individuals with Disabilities. Rotech Healthcare Inc. recruits, employs, trains, promotes, transfers, separates from employment and compensates employees without regard to membership in, association with, or perception of race, color, age, gender, gender identity, religion, creed, national origin, ancestry, citizenship, marital status, veteran status, sexual orientation, physical or mental disability, pregnancy or any other personal characteristic protected by applicable federal, state and local laws governing nondiscrimination in employment in each locality where Rotech has employees.