Sleep Intake Specialist – Insurance Verification Position Available In Lafayette, Louisiana

Sleep Management, LLC dba Viemed Sleep Intake Specialist –

Insurance Verification Job Category:

Sleep Services Requisition Number:

SLEEP002431

Full-Time Essential Duties and Responsibilities:

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position. Obtains patient demographic and health insurance information; collects co-pay(s) when appropriate Verifies and records insurance benefits, with the ability to understand and provide insurance breakdowns Obtains prior authorization if required by payer(s) Interacts professionally with physicians, patients, patients family and co-workers Schedules set ups, as called into VieMed, by physicians or physician’s office staff, per policy and procedure Retrieves incoming referral(s) and logs demographic information into current patient database & billing system Reviews medical records from referral(s) to determine if medical necessity has been met Communicates to sales team &/or referral source(s), if referral is acceptable or what is missing to complete referral(s) Documents in computer system the status of referral Reports all concerns or issues directly to Resupply Supervisor Other responsibilities and projects as assigned Qualifications High School Diploma or equivalent One (1) to two (2) years working for a Durable Medical Equipment company or relevant medical office experience preferred Basic understandings of medical insurance benefits Skill in establishing and maintaining effective working relationships with other employees, patients, organizations, and the public Effectively communicate with physicians, patients, insurers, colleagues and staff Able to read and understand medical documentation effectively Knowledge and understanding of same and similar DME equipment Knowledge and understanding of In-network vs Out of Network, PPO, HMO Thorough understanding and maintaining of medical insurances company’s regulations and requirements to include but not limited to Medicare and Medicaid Working knowledge of

CPT, HCPCS & ICD10

codes, HCFA 1500, UB04 claim forms, HIPAA, billing and insurance regulations, medical terminology, insurance benefits. Learns and maintains knowledge of current patient database & billing system Up to date with health information technologies and applications Answers telephone in a polite and professional manner. Communicates information to appropriate personnel and management in a timely manner Establishes and maintains effective communication and good working relationships with co-workers, patients, organizations and the public Proficient in Microsoft Office, including Outlook, Word, and Excel Utilizes initiative, strives to maintain steady level of productivity and is self-motivated Possible weekend work or overtime, to include working an on-call rotation schedule Access to Protected Health Information (PHI) This position will require the employee to handle Protected Health Information (PHI) for duties related to document and report preparation. Policies and procedures will be strictly adhered to make sure PHI is protected as required by the HIPAA Privacy Rule. Working Conditions This position will work in an office environment. Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c) Equal employment opportunity, including veterans and individuals with disabilities. PI268092347