Insurance Eligibility Verification Specialist DME Position Available In Broward, Florida

Insurance Eligibility Verification Specialist DME St Joseph Medical Equipment Corp Fort Lauderdale, FL 33316 Insurance Verifier DME The Insurance and Eligibility Verifier will be contacting insurance companies to verify a patient’s eligibility for durable medical supplies. This position requires skills for checking coverage details like deductibles, co-pays, and benefit limits, to ensure accurate billing and to inform patients about their financial responsibility before receiving services. This role requires strong communication skills, knowledge of insurance portals, an understanding of medical coding, and ability to navigate different platforms to gather necessary insurance benefit information. This position also requires a complete understanding of the differences in Medicare plans, Medicare Advantage plans as well as Medicaid and private insurances. You can’t fake this, if you don’t have a total understanding of these differences, you will not work out in this position. Key responsibilities of this insurance verification specialist position: Contact Medicare/Medicaid and insurance companies to verify eligibility, coverage levels, and pre-authorization requirements for specific durable medical equipment products. Interpret insurance plan details – especialliy Medicare, Medicare Advantage etc. to determine patient coverage or financial responsibility, including co-pays, deductibles, and out-of-pocket costs. Accurately record patient insurance information into electronic medical records (EMR) systems. Explain insurance coverage details to patients and address any questions regarding their financial responsibility. Provide accurate insurance information to the billing department for claim submission. Understanding of basic medical terms and codes to accurately interpret patient records and insurance policies. Familiarity with different types of insurance plans (e.g., HMO, PPO, Medicare, Medicaid) and their coverage details. Ability to effectively communicate with patients, insurance companies, and healthcare providers. Efficient use of EMR systems and online insurance portals to access patient information and verify coverage. Accurate data entry and meticulous review of insurance information to avoid billing errors. High volume of phone calls to insurance companies. May involve interaction with patients to gather insurance details and explain coverage information.

Job Type:

Full-time Pay:

From $22.00 per hour

Benefits:

Health insurance Paid time off

Work Location:

In person