Cardinal HealthRemote
Representative II, Customer Service - Insurance Verification
United States of America
Full Time
3 weeks ago
$15 - $75 USD
H1B Sponsor Likely
Key skills
Insurance verificationMedical billingMedical reimbursementClaims rebillingAppeals processingHIPAA complianceDocumentation submission to insurance providersClear dictionSelf-directed accountabilityCultural competenceEnglish languageEffective interpersonal skills
About this role
Cardinal Health is a company focused on enhancing customer business through effective customer service operations. They are seeking a Customer Service Representative II for Insurance Verification who will be responsible for handling insurance inquiries, verifying patient insurance details, and resolving payment issues to ensure maximum reimbursement for services provided.
Responsibilities:
- Conducts outbound calls to insurance companies and determines if patient will be serviced thru DME or pharmacy
- Ensures patient primary insurance is accurate and entered in the appropriate system
- Verifies insurance
- Handles all inbound calls from patients and insurance companies regarding any payments made from the insurance company
- Resolves all denials and processes appeals for all private insurances and some Medicare patients
- Submits all required documentation to appropriate insurance providers
- Bills orders corresponding to a denial or change to a patients’ accounts
- Contacts patients if additional insurance information is needed
- Achieves maximum reimbursement for services provided
- Rebills claims to insurance companies via paper or electronically
- Contacts insurance companies to obtain claim status
- Complies with HIPAA rules, appropriately safeguarding PHI or other private & confidential information
- Maintains accurate and detailed notes in the company system
- 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 company meetings as required
- Appropriately routes incoming calls when necessary
- Meets patient service quality standards Service-orientation and aptitude to resolve insurance and/or patient matters
Requirements:
- 1-3 years of experience
- High School Diploma, GED or equivalent work experience
- Effective interpersonal skills
- Clear diction and knowledge of the English language, both written and verbal
- Self-directed accountability and reliability
- Cultural competence