Brea, CA, US
7 days ago
Benefits Investigator

Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a patient-focused environment that emphasizes professional care, compassion, and collaboration to ensure optimal treatment outcomes.

Job Description

Contact insurance companies to verify patient insurance information, coverage, and benefits.Confirm eligibility and benefits for services rendered, including co-pays, deductibles, and out-of-pocket expenses.Ensure insurance information is entered correctly into the system and updated regularly.Liaise with insurance companies, medical staff, and patients to resolve any discrepancies or issues with coverage.Maintain accurate and up-to-date records of insurance verifications and related communications.Document and report any issues with insurance eligibility or benefit discrepancies to the appropriate departments for further action.Resolve issues regarding claim rejections or delays by contacting insurance providers and obtaining necessary information or approvals.Assist in coordinating prior authorizations when required for certain procedures or services.Ensure compliance with relevant insurance policies, regulations, and legal requirements.Stay up-to-date on industry changes, insurance plan updates, and billing practices.Communicate with patients to request any missing or updated insurance information.Explain coverage details to patients, answering questions about their insurance benefits and how they relate to the services provided.

Qualifications:

High school diploma or equivalent; some college or healthcare-related certification preferred.Previous experience in insurance verification, medical billing experienceKnowledge of healthcare insurance plans, benefits, and claims processes.Strong attention to detail and organizational skills.Excellent communication skills, both written and verbal.Proficiency with insurance verification software and electronic health record (EHR) systems.
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