Exciting Commercial Patient Services Specialist Opportunity. Are you ready to take your career to the next level? At Converge Medical Technology, we provide game-changing technology with empowering personalized patient services as part of our supervised physical therapy program. The Commercial insurance Patient Services Specialist is responsible claims processing for the day-to-day operations of patient account verification, authorization, billing and follow up for the commercial line of business. Also responsible for communicating benefits to the patient and qualifying and setting up patients with financial assistance.
Key Responsibilities:
- Responsible for the DME business aspects of arranging care for patients that have Commercial Insurance patients
- Insurance verification, coverage limits and identifying and qualifying medical documentation requirements as applicable.
- Communicating with patients to include but not limited to: Deductibles, coinsurance, and copays/Taking financial information to qualify patients for company hardship programs/Coordinating benefits and Updating coverage information.
- Manage incoming referrals and maintain track of all inquiries and responses provided.
- Utilize Salesforce to conduct day-to-day business responsibilities according to standard operating procedures.
- Responsible for incoming and outgoing, high volume telephone calls acting as liaison for insurance companies and sales reps to process prior authorizations, appeals and updates.
- Provide efficient, accurate and timely updates to sales reps and instruct on payer coverage criteria.
- Research required information using available resources to complete referral submissions and updates.
- Identify and escalate priority issues to Intake Manager for timely completion of referrals.
Qualifications:
- 1-year customer service experience preferably with insurance verification or DME experience.
- 1-2 years of prior authorization experience in a DME or clinical setting.
- Experience with Commercial insurance plans.
- Ability to calculate figures and amounts such as discounts, interest, commissions, proportions, percentages.
- Ability to apply concepts of basic algebra and geometry.
Location: In Person in Austin, TX
Pay Range: $21-$23/hr