Insurance Verification Representative - Eddy Senior Care
Description
Insurance Verification Representative - Eddy Senior Care - FT Days
Location: 433 River St, Troy, NY
Narrative: Eddy Senior Care Pace is looking for an individual to join their finance team. This position is responsible for entering all patient claims into their computer system, determining payment amounts based on fees schedules, resolving discrepancies, and communicating with providers to address billing issues. The role involves working with high volumes of claims, maintaining professional communication, and collaborating in a small department. Hours are Monday to Friday, 8:30-4:30 or 8:00-5:00.
Process
- Enter patient claims into the adjudication system
- Determine payment amounts based on fees schedules
- Resolve discrepancies before submitting to accounts payable
- Communicate with providers to resolve billing problems
- Work with self-pay clients and contracted agencies
- Obtain and manage service authorizations
- Prepare, review, and submit invoices and claims
- Maintain and reconcile cash postings
- Follow up on outstanding account balances
Requirements
- Strong organizational and communication skills
- A high attention to detail and accuracy
- A proactive problem-solving mindset
- The ability to work in a fast-paced healthcare environment
- Ideal candidate should be very organized, patient, flexible, and adaptable to changes
- Previous billing experience is required
- A high school diploma is required, with 2-3 years of experience in a billing position or a healthcare position
- Prior authorization and/or billing experience is preferred
Pay
Pay range: $18.50-$24.66
Pay is based on experience, skills, and education.
Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates.
The pay range may also vary within the stated range based on location.