Client: RMS Lifeline – Houston
Job Title: Insurance Verification Specialist
All-In Hourly Rate: $4.75
Work Schedule: Monday–Friday 8am-5pm CST

Job Responsibilities:

• Schedule, reschedule as needed and cancel appointments patients in NextGen
• Provide Pre-Op instructions to patient upon scheduling the patient
• Verify patient Insurances, obtain authorizations and input insurance information into NextGen
• Schedule transportation as needed per the center’s practices & notify client if issues with transportation
• Contact clients to confirm patient appointments and reschedule appointments and any cancelled appointments and document in NextGen
• Conduct follow-up phone calls to patients for post-procedures to assess surgical site infections; notify client if there is a possible surgical site infection
• Contact clients
• Medical Record Audits as requested by client
• General Data Entry & Data Collections as requested by client
• Efax physicians’ notes to dialysis units and referring physician’s offices
• Handle inbound and outbound calls

Job Qualifications:

• Must have a Bachelor of Science in Nursing, or BSN
• Proficient in the English language, both verbal and written
• Understanding of medical terminology
• Must have 2+ year in a healthcare or medical billing office; management of scheduling patients
• Must have 2+ years’ experience verifying insurance with Medicare, Medicaid and commercial payers
• Able to perform patient follow-up calls to assess surgical site infections
• Experience in obtaining pre-authorizations and/or referrals from insurance carriers (preferred)
• Serve as liaison between patients and clients to ensure vascular access procedures are scheduled timely
• Ability to eFax physicians’ notes to dialysis units and referring physicians’ offices
• Proficiency in MS Word, Excel, PowerPoint and Outlook
• Worked in a healthcare setting and/or medical billing office
• Managing patient appointments for procedures: Scheduling, Rescheduling, and Cancellations
• Identifying signs and symptoms of infections for post-procedure surgical site infections
• Strong communications skills as a liaison from patient to client

Hardware and Software Requirements:

Hardware:

● AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
● 16GB DDR4 RAM and 120 – 480gb SSD
● Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
● 1 – 2 Monitors (at least 21in)
● 1080p HD Webcam
● Internet Speed: 50mbps (Fiber/DSL) LTE not accepted

Software:

● Genuine Windows 10 Licensed Computer
● Microsoft Office Suite