Job Description SummaryAre you passionate about helping people? Liberator Medical, part of the BD family of companies offers Higher Pay, Incentives, Medical Benefits and 401K day ONE!
In this role you will verify new patient insurance coverage and to reverify existing patient insurance coverage for durable medical supply eligibility and billing purposes.
To verify new patient insurance coverage and to reverify existing patient insurance coverage for
medical supply eligibility and billing purposes
II. PRIMARY DUTIES AND RESPONSIBILITIES
1. Verification and documentation of new patient insurance coverage and coordinating costs for
supplies in order to communicate to the patient and billing what the patient order cost will be
2. Reverification of existing patient insurance coverage to ensure that repeat order cost and eligibility
is communicated to the patient and the billing department
3. Contact insurance carriers to request any prior authorizations as needed for patients that must seek
prior approval before obtaining medical supplies
4. Special verification projects for newly contracted insurance plans and audit of any patients that may
5. Verification of insurance coverage through HIPAA and regulatory complaint out bound phone calls
or via the providers online portal
6. Communication internally with Sales operations or Medical Billing operations of insurance eligibility
for each new and existing patient in order to complete the sale or obtain further medical
7. Communication externally with patients to explain information received relative to their insurance
benefit and how it relates to their medical supply purchase
8. Develops and maintains knowledge in medical terminology, billing and insurance guidelines
9. Ability to identify and professionally resolve insurance verification related issues
10. Track daily production and submit daily log to direct supervisor
III. ANCILLARY DUTIES AND RESPONSIBILITIES
3 Form Document Created: 12/6/2011 2:05 PM
1. Maintain a positive work atmosphere that embodies Liberators philosophy Professional excellence,
teamwork and integrity.
2. Performs other duties and tasks as assigned
IV. REPORTING RELATIONSHIP RESPONSIBILITIES
__x__ No supervisory responsibilities
__ ___ Provides work direction only
Provides work direction plus has responsibility for hiring, promotions, transfers, performance
management, discipline, and discharge.
V. MINIMUM REQUIREMENTS OR QUALIFICATIONS
(To perform this job successfully, an individual must be able to perform each
essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable
accommodations may be made to enable individuals with disabilities to perform the essential functions)
High School Diploma or general education degree (GED); one to two years
related experience and/or training; or equivalent combination of education and experience.
Ability to read, analyze, and interpret medical supply publications, technical
procedures, and/or training tools. Ability to write internal and external business
correspondence. Ability to effectively present information and respond to questions from
management, team members, and/or customers.
Ability to calculate figures and amounts such as discounts, interest, commissions,
proportions, and percentages. Ability to apply intermediate math skills
Ability to solve practical problems and deal with a variety of variables. Ability to
interpret a variety of instructions furnished in written, oral, diagram, or schedule form.
Advanced analytical reasoning to include ability to forecast exponentials within work flow
processes and reason against outside factors.
Knowledge of Microsoft Office Applications, Access or other database software.
ability to utilize or knowledge of call center telecommunications
c. Licensure or Certifications required:
No certifications required
d. Production/Quality Metrics:
Demonstrate ability to produce one (1) completed insurance verification
every 911 minutes on average, with an error rate of 3.5% or less each calendar quarter. Production and
quality standards are at the sole discretion of management and are subject to revision at any time and
without prior written notice.
VI. WORK REQUIREMENTS
1. Ability to work some evening shifts, weekends, and overtime as needed
3 Form Document Created: 12/6/2011 2:05 PM
VII. PHYSICAL DEMANDS
(The physical demands described here are representative of those that must be met by an employee to successfully
perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.) While performing the duties of this job, the employee is frequently required to walk, sit; use hands
to finger, handle, or feel and talk or hear. The employee is occasionally required to stand. The employee
must occasionally lift and/or move up to 10 lbs.
VIII. WORK ENVIRONMENT
(The work environment characteristics described here are representative of those an employee encounters while
performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the
essential functions.) While performing the duties of this position, the employee performs tasks in a temperature
controlled office environment under normal office conditions. The noise level in the work environment is
usually moderate. The work environment involves minimal exposure to hazards or physical risks, which
require following basic safety precautions.
The above job description is meant to describe the general nature and level of work being performed; it
is not intended to be an exhaustive list of all responsibilities, duties, and skills required for this position.
The Company officers, midlevel, and entry level management staff may assign additional duties and
responsibilities as needed. This job description in no way states or implies that these are the only duties
to be performed by the employee occupying this position. Employees will be required to follow any
other jobrelated duties requested by their supervisor in compliance with Federal and State Laws.
Primary Work LocationUSA FL – Stuart HQ
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