InnovaCare Management Services Company, LLC

Pre-certification of benefits for incoming patients entails utilizing the insurance provider portal and in some extend calling insurance providers for verification of patient benefits before the day of appointment.   

Responsibilities:

Verification of Medicare and Medicaid eligibility for patients Verification of all Commercial eligibility for patientsVerification for all Managed Medicare eligibility for patientsScan all requested and received eligibility information into the patient account Assure that the correct PCP is in the patient demographic in ECWUpdate Insurance information so that patients have the correct information on file.Verification personnel must do their job while adhering to insurance and patient confidentiality lawsVerification personnel would document in the patient demographic as well in the printed scheduled the patient financial obligation once coverage is verified. Verification personnel is to also document in the patient demographic as well in the printed scheduled any patient past due balance. Assist patient when calling in question of a bill or statement they might have received. Communicate with the offices in reference to patient insurances and balances discrepancy found while verifying patient benefitsUpdate any claims pending due to insurance informationDocument daily the count of patient eligibility done for each provider Provide a monthly report with discrepancy 

Skills and Specifications:

 Interpersonal and communication skills are a must to communicate with patients, insurance providers and billing personnel.  Must be knowledgeable of Insurance terminology and types of policies. Computer literate and have exceptional telephone skillsHigh School Diploma or equivalent is required for entry-level positionsAt least one year of experience in a related field