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Highbar Physical Therapy

Posted 2 months ago

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Insurance Benefit Specialist

Providence, RI - AdministrativeOn-site

AI Summary

The Insurance Benefits Specialist verifies insurance benefits, explains coverage, resolves complex benefit issues, and supports clean claim processing while guiding Patient Care Coordinators and collaborating with Billing and Front Office.

About this role

The Insurance Benefits Specialist is responsible for verifying insurance benefits, explaining coverage details, and assisting with benefits-related inquiries. The role also includes insuring compliance with insurance guidelines to support clean claim processing.

What You'll Do:

  • Identify and solve complex insurance benefit issues.
  • Obtain detailed patient information to accurately submit to the proper insurance carriers.
  • Contact health care providers to obtain referrals or additional information as necessary.
  • Must maintain strong attention to detail to transpose data and information accurately.
  • Guide and assist Patient Care Coordinators through difficult accounts.
  • Provide information and assist patients when help is needed byresearching benefit coverage.
  • Assist other departments as needed, including Billing and Front Office.

    • Qualifications:

  • Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.
  • Preference will be given to candidates with medical insurance and authorization knowledge.

    • Compensation Package:

  • Starting at $20/hour, with compensation adjusted based on experience, skills, and role alignment
  • We also offer a comprehensive benefits package including Medical, Dental & Vision; 401(k); voluntary disability and life insurance options; Fitness & Wellness program; paid holidays and paid time off; flexible work hours; community volunteer opportunities, and more.

    • Skills

    Claims ProcessingEHRHealth Insurance BenefitsInsurance AuthorizationMedical InsurancePayer Portals

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