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Insurance Specialist

Company: Vaco Technology
Location: Franklin
Posted on: November 18, 2021

Job Description:

Title: Insurance SpecialistLocation: Franklin, TNDuration: 4 Months Contract Roles and Responsibilities:Verifies insurance coverage by phone, online or through E1 (electronic system) transactions for new patients and/or changes in coverage.* Maintains confidentiality of information at all times.* Assists patients with understanding their pharmacy benefits and available resources.* Educates patients regarding availability of alternative insurance options, such as providing Medicare part D assistance and education.* Assists when insurance coverage changes between companies or to Medicare, and/or refers patients to a social worker.* Answers patients' questions regarding insurance coverage.* Provides contact center customer service support related to insurance inquiries. * Refers escalated questions/situations to supervisor or appropriate department (such as Billing to address a Billing error), or if a patient wants to opt out of the program.* Input and update insurance information related to pharmacy benefits (i.e Medicare Part D, Commercial Plans and State Medicaid, etc)* Ensure Pharmacy claim rejections are resolved to allow for timely shipping of medications.* Contact payers to gather benefit coverage information and resolve third party rejections on claims.* Works a backlog of rejected claims for timely resubmission* Demonstrates knowledge and understanding of insurance billing requirements.* Works to meet the agreed upon service level agreements and or key performance indicators* Monitors all patients' insurance information to ensure that it is updated and accurate. Addresses any identified anomalies or discrepancies, researches and answers questions as needed.* Collaborates and communicates with Fresenius Kidney Care clinic partners. * Completes work within authorized time to assure compliance with departmental standards.* Review and comply with the Code of Business Conduct and all applicable company policies and procedures, local, state and federal laws and regulations.* Assist with various projects as assigned by direct supervisor.* Other duties as assigned. EXPERIENCE AND REQUIRED SKILLS:* 1 - 2 years' customer service experience.* 1-2 Health Insurance/ Payer Claims Experience is a plus.* Excellent customer service, communication, organizational and interpersonal skills required.* Demonstrates critical thinking and problem-solving skills.* Demonstrates analytical thinking skills.* Detail oriented with the ability to enter information accurately on paper and into a database system.* Proficient with PCs and Microsoft Office applications.* Develops a working knowledge of pharmacy dispensing regulations, pharmacy data systems, and pharmacy billing practices and policies.* Develops a working knowledge of standard medical abbreviations and medical terminology. Education:* High School Diploma required* Prior courses in insurance billing and data processing preferred.* Health Insurance Certification preferred. - provided by Dice

Keywords: Vaco Technology, Franklin , Insurance Specialist, Other , Franklin, Tennessee

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