Description
Job Summary
The Patient Benefits Advocate works within the Benefits Management Business Unit and is the key stakeholder for verifying insurance coverage for potential new patients (both switch-out and new referrals). This position works new and existing patient verification rechecks. The successful person will meet or exceed daily/weekly goals and carry out Inogen’s values.
Responsibilities (Specific Tasks, Duties, Essential Functions Of The Job)
- Makes outbound calls to insurance companies to verify insurance benefits.
- Evaluates insurance coverage in order to determine the policy’s compatibility with our service.
- Metrics responsibility for # of PI/Medicaid verifications complete and # successful and others as assigned.
- Handles electronic service requests for PI verifications, PI high priorities, and hospice eligibility review (and others as assigned) with appropriate attention to detail and service orientation to meet our service response timeframes.
- Has a strong working knowledge of billing procedures, insurance reimbursement procedures and HCPC codes.
- Efficiently and accurately verifies, reviews, documents and completes insurance verifications.
- Ensure Inogen's compliance with all state and federal regulations.
- Ensure that appropriate medical records are maintained according to HIPAA guidelines.
- Maintain regular and punctual attendance.
- Comply with all company policies and procedures.
- Assist with any other duties as assigned.
Knowledge, Skills, And Abilities
- Excellent verbal and written communication skills required.
- Must possess good time management skills, with the ability to prioritize and multi-task.
- Must be detail-oriented and analytical to ensure documentation is being assessed properly.
- Comprehensive understanding of Medicare and Private Insurance program rules.
- Experience in successful verification of all Medical Insurances.
- Excellent customer service skills.
- Has an ability to work in multiple systems including CRM, Salesforce, Brightree, and Five9 phone system in a fast-paced environment.
Qualifications (Experience And Education)
- Associates degree in Communications, Healthcare Management or related field, required.
- 2 years of Medicare and insurance verification experience preferably for oxygen or HME billing; at least 1 year billing experience, required.
- Experience working with Medical Sales personnel, required.
- Basic knowledge/proficiency in Microsoft Office, required. Knowledge/proficiency in Salesforce and/or Brightree is recommended but not required.
- A combination of training, education and experience that is equivalent to the qualifications listed above and that provides the required knowledge, skills, and abilities.
Disclaimer
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
