Hybrid Insurance Verification Specialist

Pittsburgh, PA | Work from home flexibility

Posted: 02/08/2024 Category: Insurance Job Number: CMisak139

Job Description

A-Line Staffing is now hiring Hybrid Insurance Verification Specialists in Pittsburgh, PA. The Clinical Intake Specialist would be working directly/permanently for a medical device company verifying insurance and has career growth potential. This would be full time / 40+ hours per week.

 

If you are interested in this Intake Specialist position, please contact Corrin Misak at cmisak@alinestaffing.com or (586) 710-7958.

 

Intake Specialist Highlights

  • The required availability for this position is 40 hours per week
    • Mon-Fri 1pm-9:30pm (2nd shift)
    • Fully onsite in Pittsburgh, PA for the first 6 months, then transitions to 2-3 days onsite and 2-3 days remote/WFH
  • The pay for this position is $21.00 per hour
    • Hours worked past 7pm are paid at $24.15 per hour
  • This position is a Permanent/Direct Hire placement with opportunity for long-term career growth
  • The Intake Specialist is an integral member of the reimbursement team and has primary responsibility for the timely handling of new medical orders from hospitals and physician offices. This individual is responsible for front-end functions of the order fulfillment process. Individual will work with numerous insurance types in reviewing medical orders and clinical documentation to determine benefit and clinical eligibility for the LifeVest. Individual is responsible for creating and maintaining relationships with insurance companies, sales reps, and other internal departments.

 

Intake Specialist Responsibilities

  • Creation of patient records
  • Verification of benefits
  • Triage, work and resolve intake orders
  • Explain medical need and educate insurance case managers on LifeVest system to obtain authorization for services
  • Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance carrier for coverage determination
  • Obtain authorizations as required by payer
  • Execute timely follow up on all assigned tasks
  • Maintain a score of at least Meets Expectations on monthly scorecard
  • Identify qualifying diagnosis based on payer requirements
  • Triage fax documents for timely review
  • Communicate authorization results and order status to sales representatives
  • Complete fee calculator and inform billing department of appropriate charges
  • Contact customers, physician offices, and sales representatives to relay and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefits
  • Performs other duties as assigned by management

 

Intake Specialist Requirements

  • H.S. Diploma or equivalent required. Associate’s or Bachelor’s degree in nursing, business, or other related field preferred
  • 2-3 years insurance verification experience required
  • Superior communication; both verbal and written
  • Strong customer service skills
  • Proficiency in navigating several software systems concurrently
  • Aptitude to handle multiple tasks simultaneously under strict deadlines
  • Attention to detail
  • Superior organizational and time management skills
  • Ability to communicate policy information in a clear and detailed manner
  • Proficiency with MS Office Suite

 

If you think this Intake Specialist position is a good fit for you, please reach out to me - feel free to call, e-mail, or apply to this posting!

Corrin Misak – Staffing Manager II

cmisak@alinestaffing.com or (586) 710-7958

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