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    Insurance Verification Specialist - Seattle, United States - A.P.R., Inc. (AlphaProTemps)

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    Description

    Job Description

    Job Description

    Up to 1 Year Contract, may convert to Fulltime Hire

    Must be Covid-19 vaccinated

    Monday - Friday, 8:00 - 4:30

    Manager is looking for someone long-term, possibly go from Contract to Hire position.


    Must have Experine in:
    Perform front-end revenue cycle duties using specific knowledge of medical terminology to investigate insurance benefits and submit authorizations for a variety of infusion and enteral therapies.

    Duties include compiling and recording medical charts, reports, and correspondence.

    Job Duties:

    • Verifies insurance benefits and eligibility on all new referrals.
    • Performs monthly verification of DSHS coverage for long term Medicaid patients and weekly verification for capitated Hospice patients.
    • Assist in evaluation of documentation to determine if patient meets criteria for coverage of therapy.
    • Gather necessary information to assure accuracy and completeness of forms and reports; Work with management and staff to correct omissions, errors, office systems problems, etc.
    • Responsible for creating Cost Disclosure/Advance beneficiary notices for Medicare patients and tracking for signed form.
    • Responsible for generating benefits letter to inform patient/responsible party of financial responsibility and sending to patient.
    • Responsible for entering new patient and physician date into the software database, including new therapy sessions on existing patients; Enter ICD-9/ICD-10 codes as needed.
    • Obtain PCP referral request and follow-up.
    • Document appropriately in patient electronic record regarding payer/billing information.
    • Obtain initial pre-authorizations as required by insurance plans.
      • Verification of physician licensure on an ongoing basis.
    • Support and incorporate Sisters of Providence Health System Mission into daily activities.
    • Participate in QA/QI.
      • Responsible for performing Medicare Part D eligibility and drug formulary checks.
    • Prepare hospital charity agreements and send and track patient financial assistance applications.


    Required 1 year Experience in medical office setting.

    Reimbursement experience.

    Experience with verification of insurance benefits.

    Ability to type quickly and accurately.
    • Ability to communicate effectively both written and orally.
    • General computer knowledge and skills, including word processing, spreadsheets and database software.
    • Knowledge of office equipment.
    • Knowledge of medical terminology.
    • Customer service skills.
    • Knowledge of medical reimbursement.

    Company DescriptionAlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.

    Company Description

    AlphaProTemps is specialized in providing "best-in-class" professional staff augmentation services. These recruiting directives include temporary labor, contract sourcing, professional & technical niches, vendor-on-site, and managed service programs.


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