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Langhorne, PAPosted 5 days ago
onsite

Job Description

Job Id:  1042 # of Openings:  3
Work Schedule: Monday - Friday, 8-4:30 pm 
 
Essential Functions:
  • Prepare and process work orders accurately and timely
  • Obtain, review, and coordinate required documentation, including prescriptions, physician notes, and other supporting records needed to move orders forward
  • Verify patient insurance benefits, confirm coverage criteria, and secure prior authorizations or pre-certifications as required
  • Ensure data integrity and accuracy of patient account information, including HCPCS and ICD-10 coding, to support proper processing and reimbursement
  • Communicate with patients regarding insurance coverage, financial responsibility, and next steps in the process
  • Coordinate with physician offices, practitioners, and internal staff to obtain missing information and ensure orders are ready for delivery
  • Maintain knowledge of payer-specific rules, documentation requirements, and authorization procedures
  • Ensure orders are properly documented and meet company and insurance requirements prior to delivery
  • Provide excellent customer service to patients, referral sources, and coworkers
  • Document account activity clearly, accurately, and professionally
  • Help maintain an efficient flow of service from order intake through readiness for delivery
  • Complete other duties as assigned
Skills & Requirements:
  • Works independently
  • Uses good judgment
  • Makes sound decisions
  • Communicates professionally with patients, physician offices, insurance representatives, and coworkers
  • Works effectively in a fast-paced environment
  • Records information clearly, accurately, and concisely
  • Handles sensitive and confidential information appropriately
  • Meets deadlines, prioritizes tasks, and manages multiple accounts at once
  • Proficient in Microsoft Outlook, Word, and Excel
  • Organized and detail-oriented
  • High school graduate
  • Prior experience with insurance verification, prior authorizations, medical documentation, or patient service in a healthcare setting preferred
  • Knowledge of anatomy and medical coding is a plus

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