7 days old

Byram Healthcare - Associate Verifier

O&M Halyard, Inc.
Salt Lake City, UT 84111
  • Job Code
    REQ_21_6579

At Owens & Minor, we are a critical part of the healthcare process. As a Fortune 500 company with 50+ facilities across the US and 18,000 teammates in over 90 countries, we provide integrated technologies, products and services across the full continuum of care. Customersand their patientsare at the heart of what we do.

Our mission is to empower our customers to advance healthcare, and our success starts with our teammates.

Owens & Minor teammate benefits include:

  • Medical, dental, and vision insurance, available on first working day
  • 401(k), eligibility after 30 days of employment
  • Employee stock purchase plan
  • Tuition reimbursement
  • Development opportunities to grow your career with a global company

POSITION SUMMARY

The representative is an expert in patient/physician relations by, verifying insurance coverage, and performing administrative activities associated with maintenance of medical documentation and medical records.

ESSENTIAL TASKS

  • Responsible for maintaining exemplary levels of customer service in all interaction in accordance to Byram Healthcares Mission and Vision.
    • Answers questions from customers, clerical staff, insurance companies, and physician offices.
    • Identifies and resolves patient complaints.
    • Explains/collects co-pays, deductibles and other patient balances, when needed.
    • Makes patients fully aware of financial obligations and eligibility for programs that may provide financial aid. Provides patient education regarding third party coverage and liabilities
  • Verification and Collection of Patient Records
    • Conducts outbound calls to obtain appropriate documentation for reimbursement of orders shipped.
    • Verify customer benefits via phone, fax, and/or web portal.
    • Reviews and approves documentation received by third parties, for submission to payors.
    • Demonstrates knowledge of insurance payers and the use of electronic systems for verification purposes. Uses electronic systems and payer websites for verification of insurance, authorizations and referrals.
    • Verifies, and obtains any missing information and documents patient insurance information at time of service. This includes verifying health insurance coverage, eligibility dates, obtaining in and out of network benefit amounts, out of pocket limit, deductible information, life time maximum, co-payment amount, and the like.
    • Obtains prior authorization for inpatient and outpatient services from government, commercial, and state agencies, as needed.
    • Submits timely electronic, verbal notifications, and clinical documentation in accordance with contractual requirements.
    • Documents activities within ERP system in a clear, accurate and timely manner.
  • Continuous evaluation, troubleshooting, and feedback of processes and procedures.
    • Demonstrates critical thinking, research abilities and the ability to work with multiple insurance payors to secure benefits.
    • Communicates potential issues and trends to Group Team Lead and initiates resolution steps.
    • Responsible for following guidelines associated with Byram Healthcares Insurance Verification Policies and Procedures.
    • Maintains the ability through written correspondence to professionally communicate across different departments throughout the organization.
    • Works collaboratively across teams, with peers, and the operations department.
    • Performs additional duties as assigned, in support of revenue cycle operations

QUALIFICATIONS

  • High School Diploma
  • 1-2 years experience in a professional setting, preferably healthcare.
  • Proficient in computer software, specifically Microsoft Office (Word, Outlook, Excel, PowerPoint).
  • Ability to communicate clearly and effectively in both verbal and written form.
  • Excellent customer service skills.
  • Strong interpersonal communication, problem solving and organizational skills.
  • Ability to work in fast paced environment.
  • Self-directed, and able to prioritize work.
  • Typing speed of at least 40wpm

If you feel this opportunity could be the next step in your career, we encourage you to apply.

Owens & Minor is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, national origin, sex, sexual orientation, genetic information, religion, disability, age, status as a veteran, or any other status prohibited by applicable national, federal, state or local law.







Posted: 2021-09-11 Expires: 2021-10-10
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Byram Healthcare - Associate Verifier

O&M Halyard, Inc.
Salt Lake City, UT 84111

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