Insurance Follow-Up/Verification Representativ

About us:

Connect International, LLC is a leading near shore call center located in Panama City. With over 40 years of experience in the collection industry, we offer a range of specialized services including debt collections, quality assurance and monitoring, customer satisfaction surveys, administrative assistance, and more. Our team is dedicated to providing excellent support and solutions to our clients' diverse needs.

POSITION SUMMARY

The Insurance Verification Representative is responsible for researching and updating the insurance information, commercial and government, within various databases with the current benefit status for each patient. Information can be obtained electronically or by direct communication with the insurance companies.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

- Responsible for verifying patient insurance coverage ? Responsible for taking data provided and submitting claims to various private and government sponsored insurance companies
- Follow up with pending claims and work denials for all payers
- Query information on remote Medicare software
- Learn new systems and process solutions as they present themselves to ensure proper assignment and workflow
- Contacts insurance companies/payers or patients to gather information necessary to complete appeal processing
- Remain compliant with our policies, process and legal guidelines
- Will need to be open to ongoing feedback and coaching aimed at improving performance
- Remain compliant with HIPAA and other State and Federal regulations
- Entering and/or updating the benefit information in an accurate manner into the various databases
- Adhere to the production standards set for the department and client
- Accuracy and confidentiality in handling medical records in compliance with HIPAA, Federal, State and Company requirements
- Other duties as assigned by manager

KNOWLEDGE, SKILLS & ABILITIES

- Knowledge of insurance terminology and processes
- Intermediate to advanced proficiency in computer skills using Microsoft Word and Excel software
- Knowledge and skill navigating insurance portals for online benefit review Medical system platform experience with STAR, EPIC, etc.
- Ability to multi-task in a fast-paced environment
- Excellent verbal, written and communication skills
- Strong analytical/problem solving skills
- High attention to detail
- Ability to read and understand a variety of information presented in different formats from a variety of sources

Why Connect International, LLC?

Joining Connect International means joining a team dedicated to excellence. Here, you'll have the opportunity to make a real impact, contributing to our continued success and growth. We offer a supportive work environment, opportunities for professional development, and competitive salaries.

Ready to Join Us?

If you're ready to take the next step in your recruitment career and make a difference with Connect International, LLC, we want to hear from you! Apply now and embark on an exciting journey with us.

To apply for this position, please keep in mind we will request you to have the following documentation ready to turn in the day of the interview:

- Updated English Resume
- Copy of ID front and back (Color copies)
- Updated Police Record
- Original Health Certificate.
- 2 signed personal recommendation letters. (NO DIGITAL SIGNATURE, NO FAMILY MEMBERS)
- Previous Job reference letter (Original, No copies, With color)
- 2 ID size photos
- Copy of high school diploma