Insurance Verification Specialist - Camelback Dermatology & Skin Surgery
Platinum Dermatology Partners – Phoenix, AZ
Who We Are:
Platinum Dermatology Partners is a network of high-quality dermatology clinics that focus on collaborative and innovative ideas to drive growth. We offer general dermatology, cosmetic, medical, plastic surgery, and cancer screening treatments. We have over 130+ clinics, 350+ providers, and 2200+ employees in clinics across Texas, Arizona, California, Nevada, and Florida. We are a rapidly growing company that allows our doctors to focus on providing exceptional care without worrying about the operational side of the business. Our core values focus on collaboration, ownership, respect, excellence, authenticity, and integrity. Our purpose is to empower the practice of exceptional dermatology.
Responsibilities/Duties/Functions/Tasks:
- Review charges, patient information, and insurance information before billing to minimize underpayment, denials, and re-bill attempts.
- Knowledge of drug cards, medical insurance terminology, medical benefits, and billing process.
- Experience with patient assistance and government programs.
- High skills in drafting and submitting complex insurance correspondence.
- Ensures proper account documentation which is clear, concise, and includes all pertinent information.
- Consistently follows established processes and procedures for all assigned accounts and projects to ensure prompt payments and account resolutions.
- Makes appropriate and necessary corrections to patient account information after verification from the facility as needed to ensure timely correction and submission of a claim.
- Provide a compassionate and people-centric experience for the patients.
Education:
- High School Diploma required.
Qualifications:
- Minimum of 2 years of experience in a doctor’s office, hospital setting, or CBO.
- Prior dermatology office experience is preferred.
- Quality written and verbal communication skills.
- Experience handling insurance pre-authorization and verification.
- Superior computer skills.
- Familiar with medical dermatology terms.
- Professional in mannerisms.
- Able to demonstrate compassion and patience in dealing with others, patients, and co-workers.
- Able to prioritize tasks, understand provider’s and management’s instructions, and know when to seek information or advice.
- Immediate and appropriate escalation of trends and issues to management that impact cash, aging, and processes.
- Maintains or exceeds 95% of established productivity goals and quality standards.
- Follows time-keeping and attendance policy daily.
- Follows and maintains patient account and client confidentiality at all times.
- Adheres to HIPAA and Compliance Policy Guidelines.
- Completes projects as assigned with detailed documentation on trends and issues to management.
- Valid Driver's License
Our competitive benefits package includes the following:
- Medical, Dental, and Vision insurance
- Short-term/Long-term disability
- Life and other voluntary plans
- 401(k) plan
- Employee Referral Program
- Paid Time-Off
- Company-Paid Holidays
Equipment Operated: Standard office equipment including computers, fax machines, copiers, printers, telephones, etc.
Physical Requirements: Must possess manual dexterity to operate office machines including computer and calculator; stooping and bending to handle files and supplies; and mobility to complete errands or deliveries. Includes handling of sharps and chemicals. Multiple staff demands and deadlines can trigger stress.
Equal Employment Opportunity:
Platinum Dermatology Partners is committed to a policy of equal employment opportunities for applicants and Employees. Employment decisions will comply with all applicable laws prohibiting discrimination in employment, including Title VII of the Civil Rights Act of 1964, The Age Discrimination in Employment Act of 1967, the Americans with Disabilities Act of 1990, the Immigration and Nationality Act, the California Fair Employment and Housing Act, and all other applicable state and federal laws.
Platinum Dermatology Partners does not permit discrimination of any type against an employee because of any of the following legally protected characteristics: gender, race, color, religion, country of origin, mental disability, physical disability, marital status, gender identity, gender expression, ancestry, genetic information, medical condition, age, sexual orientation, or pregnancy.
Please note, that any offer of employment is contingent on the successful completion of pre-employment background checks.
No phone calls or agencies, please.
INDHP1
Job Type: Full-time
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Employee assistance program
- Employee discount
- Flexible spending account
- Health insurance
- Health savings account
- Life insurance
- Paid time off
- Retirement plan
- Vision insurance
Weekly day range:
Experience:
- Dermatology: 1 year (Preferred)
- Medical Office: 1 year (Required)
- Insurance verification: 2 years (Required)
- NextGen: 1 year (Preferred)
- Prior Authorization: 1 year (Required)
Work Location: In person