Insurance Specialist -$2,500 Sign on bonus!

Company: North Coast Medical Supply
Location: Carlsbad
Posted on: November 22, 2021

Job Description:

SCOPE OF ROLE-
Advanced Diabetes Supply, a division of North Coast Medical Supply (NCMS), specialize in making it easier for patients living with Diabetes by providing their diabetes testing supplies nationwide. Our highly trained staff and proprietary technology ensures Customer satisfaction with every shipment. NCMS Insurance Specialist is responsible for interpreting and verifying coverage for our patients. The NCMS Insurance Specialist will work within the scope of responsibilities as dictated below with guidance and support from Insurance Specialist Lead(s), Supervisor(s), and Director of Billing and Insurance.Primary Responsibilities, Expected Professional Competencies

Reviews and verifies Medicare Eligibility Report; interprets to determine best coverage through medical or pharmacy benefit
Maintains detailed records in company database; documents all insurance information into each account, includes patient copayments and deductible amounts (if applicable)
Perform test claims to determine copayments and verify preferred products
Pursues prior authorizations as determined by health plan or medical group requirements.
Adapts quickly to frequent process changes and improvements
Is reliable, engaged, and provides feedback as to improve processes and policies
Attends all department, team, and weekly company meetings as required
Perform any additional responsibilities or special projects as required
Duties and responsibilities may be subject to change based upon the needs of the department

Required Education, Training and/or Professional Experience-

High School diploma or GED required
1-2 year(s) administrative experience preferred
1-2 year(s) billing experience preferred
Excellent Customer service skills, including phone and inter personal skills
Computer proficiency in MS Word, Excel, and Outlook preferred
Typing accuracy of 30 wpm minimum
Database data entry experience preferred.
Clear diction and knowledge of the English language, both written and verbal
Work history of excellent attendance and punctuality
High comfort level working with culturally diverse team members and clients
Solid mathematical skills, including addition, subtraction, multiplication, and division
Knowledge of medical terminology preferred; knowledge of orthotics and diabetes a plus
Some experience with medical insurance and/or DME a plus

Licensure / Certification Requirements-
Candidate must successfully pass a background check
Position Classification-
This position is non-exempt. ADS/North Coast Medical Supply is an equal opportunity employer. Candidates must be able to provide proof of eligibility to work in the United States without support; sponsorship is not available.

PM21PI153724137

Keywords: North Coast Medical Supply, San Diego , Insurance Specialist -$2,500 Sign on bonus!, Other , Carlsbad, California