Insurance Verification Specialist

** This is a full-time, in office position **

Texas Home Medical is looking for a customer service representative to join our Dallas office. The ideal candidate has strong communication skills, is familiar with insurance verification, and is passionate about helping others.

Responsibilities

• Communicate with referral sources both verbally and electronically to collect needed paperwork.
• Verifies Medicare and private insurance coverage information and maintains expertise of insurance requirements.
• Verify Communicate insurance benefits and DME cost to customers to complete sale.
• Keep records of all customer & referral interactions, process customer accounts, and file documents electronically.
• Manage incoming calls.
• Processes paperwork - confirms tickets, inputs new patient set-ups, and completes daily assigned work in an accurate and timely manner.
• Sell patients on the benefits of CPAP and BILEVEL.
• Communicates and works with operations and sales staff to reduce internal work-flow issues and errors that impact processing time-lines and patient care. Is proficient at managing varying expectations per each referral source and sales reps to obtain needed paperwork.
• Communicate order updates to patients, doctor’s offices, and sales reps.

• Build sustainable relationships and trust with customer accounts through open and interactive communication.
• Meet personal/customer service team sales targets and call handling quotas.
• Handle customer complaints and provide appropriate solutions within the expected time limits; follow-up to ensure resolution.
• Go the extra mile to engage customers.

Employment is contingent on

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

Education and/or Experience

• High school diploma

Skills, Knowledge and Abilities

• Insurance verification
• ICD-10/ ICD-9
• HIPAA
• Ability to maintain confidentiality and practice discretion and caution when handling sensitive information (HIPPA)
• Ability to multi-task along with attention to detail
• Ability to work independently and as part of a team
• Communicates effectively with employees, patients and referral sources both verbally and in writing to ensure questions and concerns are processed in a timely manner
• Ability to overcome patient/customer objections to CPAP/BILEVEL
• Flexible approach
• Knowledge of appropriate telephone etiquette
• Knowledge of insurance policies and requirements preferred
• Knowledge of medical billing practices and billing reimbursement preferred
• Strong organizational and prioritization skills

• Strong self-motivation and time-management skills
• Strong sense of urgency and responsiveness to customers
• Strong verbal and written communication skills

Physical Demands

• Requires sitting, walking, standing, talking or listening
• Requires close vision to small print on computer and or paperwork

Machines, Equipment and Technical Abilities

• eFax transmission and communication
• Email transmission and communication
• Internet navigation and research
• Microsoft applications including but not limited to Word, Excel, etc.
• Office equipment; fax machine, copier, printer, phone and computer

Work Environment & Hours

• Office environment
• Monday - Friday; 8:30am -5:30pm

Benefits:

• PTO after 3 months - approximately 12 days per year
• Medical, Dental, Vision
• 401K
• Life