We are recruiting for an Insurance Specialist to join Lacuna Health in Louisville, KY.
Oversees all aspects of insurance for the Kindred Contact Center.
Performs nation wide eligibility verification of benefits for potential Kindred customers.
Performs re-verification for Medicare, Medicaid, and commercial insurance payor sources for referrals from the Contact Center.
Works closely with clinical liaisons, admissions, central business office, chief financial officers, and administrators to ensure proper insurance information has been obtained in order to facilitate Admissions.
Maintains a current knowledge of Medicare and State Medicaid requirements and practices.
Provides education and training for Senior Nurse Advocates and Nurse Advocates on the intricacies of insurance plans including Medicare and state Medicaid.
Acts as Kindred representative in dealing with third-party payors and insurance companies.
Contact Center expert in Medical Records management, Billing and Coding.
Updates file information as needed to ensure files are current.
Completes and compiles insurance reports for re-verification.
Assist Contact Center Team in non clinical consumer questions.
Checks eligibility and verifies insurance information for Medicare and Commercial carriers
Utilizes Medicare Common Working File (CWF), to calculate Medicare Days
Utilizes payor online websites and direct phone contact to check eligibility
Responds timely with financials and eligibility to the Kindred Contact Center Nurse Advocates and Manager.
All financial forms must be legible and completed with all requested information as outlined on the Insurance Verification forms.
All calls must be recorded when contacting insurance companies, by utilizing the Total Recorder software.
Performs data analysis which is often confidential in nature, to include the use of Excel, SharePoint, and Kindred Applications.
Maintain a current knowledge of modification to Medicare and state Medicaid plans as they impact Post Acute Care.
Provide detailed insurance requirements using the Kindred Contract Management system. Determine inclusion of this information in the Contact Center Location description. Keep descriptions updated.
Provide quarterly education to Nurse Advocates on insurance changes and trends. Provide support and answer questions re anything related to insurance.
Provides Ad-hoc Contact Center tasks as requested by Contact Center Manager.
Adheres to dress code, appearance is neat and clean and wears appropriate identification while on duty.
Completes annual health, safety, and education requirements. Maintains professional growth and development.
Maintains confidentiality of all patient and/or employee information to assure patient and/or employee rights are protected.
Demonstrates knowledge of the principles of growth and development over the life span and the skills necessary to provide age appropriate care to the patient population served.
Reports to work on time as scheduled; adheres to policies regarding notification of absence.
Attends all mandatory in-services and staff meetings.
Represents the organization in a positive and professional manner.
Complies with all organizational policies regarding ethical business practices.
Communicates the mission, ethics, and goals of the hospital, as well as the focus statement of the department.
Maintains current licensure/certification for position, if applicable.
Consistently demonstrates customer service skills to patient families, physicians, visitors, employees, and any other individuals with whom they may come in contact.
Consistently follows departmental and hospital Health, Safety, Security, Hazardous Materials policies and procedures.
Ability to gather data, compile information and prepare reports
Basic data entry and/or word processing skills
Strong knowledge of Word, Excel, and Outlook functions
Typing skills and familiarity with medical terminology.
Ability to verify data input and correct errors
Ability to interact and communicate with people over the phone, often in stressful situations
Ability to work independently
Ability to communicate effectively, both orally and in writing.
Bachelors degree required
2-5 years Post-acute healthcare experience in Billing and/or Insurance Verification.
At least 1 year using Database Administration, Common Working File and C-Snap
Depending on a candidate's qualifications, this position may be filled at a different level.
If you are a current Kindred/RehabCare employee Click Here .
Job : Administrative/Clerical/Secretarial Primary Location : KY-Louisville-Lacuna Health Organization : 4993 - Lacuna Health Shift : Evening