Medical Virtual Assistant

Could This Be For You?

Review patient information to ensure insurance coverage is active and contact health insurance companies to verify eligibility and benefits from within an organization that provides healthcare patient services. Work with third-party payers to obtain pre-certification/pre-determination/pre-authorization prior to delivery of scheduled devices and services. Document and maintain accurate registration and benefits information for patients complete and communicate current status of authorizations, claims, and appeals. Communicate with patients promptly about their benefits, Assist in any administrative ad-hoc task the company requires.

Your Impact

Principal Duties And Responsibilities (Essential Functions)

Promote the values of Hanger
Reviews documentation to ensure meets needs of payer and medical policy
Verifies diagnosis code on patient billing is accurate and reimbursable
Communicates with staff to obtain necessary documentation
Communicates with insurance companies to verify patient benefits
Determine insurance financial information such as coinsurance, deductible, etc. used to determine patient responsibility
Coordinate with clinic if items are determined to be not covered
Submit authorization request to insurance companies and follows up as needed
Ensures authorizations provided by insurance companies are accurate and contain correct codes, quantities and appropriate authorization date ranges.
Updates patient chart with necessary notations, authorization numbers, and documentation
Contact third-party payer to validate patient’s coverage
Contact patient for updated insurance information, or any information requires
Perform other duties as assigned

Minimum Qualifications

Experience and Education:

Fluent level of English, Written, spoken and reading

High school diploma or equivalent
6 months to 1 year of related experience in the VA sector

Preferred

Medical terminology knowledge
Knowledge of insurance payer
Experience with EMR systems
Basic computer knowledge

Additional Success Factors

Knowledge and Skill:

Able to initiate communication with clinic staff and insurance companies
Excellent customer service and communication skills
Able to manage multiple responsibilities and to prioritize duties/tasks in a fast paced working environment
Good interpersonal, oral and written communication skills, including the ability to follow written and verbal directions
Resourceful and flexible team player who excels at building trusting relationships with patients, referral sources and colleagues
Working knowledge of HIPAA and other medical insurance regulations and terminology for private payer, state and federal plans including coding, billing and reimbursement protocols
Proficient computer software; such as MS Word, Excel, and automated billing systems
Must have an enthusiastic and positive attitude
Ability to work independently, exercise creativity, and be attentive to detail
Proficiency with basic math and accounting skills
Act with integrity in all ways and at all times, remaining honest, transparent, and respectful in all relationships.
Keep the patient and clients at the center of everything that you do, building lifelong trust.
Foster open collaboration and constructive dialogue with everyone around you.

Focus on superior outcomes, and calibrate work processes for outstanding results.

If you are interested in this job please send us a link to your Resume and send the word “Clinical”, this will help us check on those who are really paying attention to the offer.