Account Client Manager-Insurance Verification and Authorization
About the position
The Account Client Manager for Insurance Verification and Authorization at Altruis, Inc. is responsible for overseeing a team that verifies patient insurance coverage and eligibility. This role is crucial in ensuring accurate documentation in medical records and facilitating smooth operations to enhance patient care. The ideal candidate will possess a strong understanding of medical terminology and coding, along with experience in a healthcare setting.
Responsibilities
Verify patient insurance coverage and eligibility prior to appointments or procedures.
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Review and interpret insurance policies to determine benefits and limitations.
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Communicate with insurance companies to obtain necessary authorizations and clarifications.
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Maintain accurate and up-to-date records of all verification activities in compliance with HIPAA regulations.
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Collaborate with medical staff to ensure proper coding (ICD-9, ICD-10) for services rendered.
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Assist in resolving any discrepancies related to insurance claims or patient accounts.
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Provide support to patients regarding their insurance inquiries and coverage options.
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Stay informed about changes in managed care policies and procedures.
Requirements
Previous experience in a medical office, dental office, or similar healthcare environment required.
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Strong knowledge of medical terminology, coding practices, and insurance processes.
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Familiarity with HIPAA regulations and the importance of maintaining patient confidentiality.
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Proficient in handling medical records and documentation accurately.
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Excellent communication skills, both verbal and written, with the ability to interact professionally with patients and insurance representatives.
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Detail-oriented with strong organizational skills to manage multiple tasks effectively.
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Ability to work independently as well as part of a team in a fast-paced environment.
Nice-to-haves
Benefits
401(k)
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401(k) matching
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Dental insurance
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Disability insurance
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Flexible spending account
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Health insurance
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Health savings account
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Life insurance
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Paid time off
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Vision insurance
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