Community Medical Group is looking for a responsible and reliable Verification Agent that will receive and work with compiled opportunity lists with the purpose of verifying health plan enrollment and primary care physician selection.
Duties and Responsibilities
1. Verifies on a monthly basis the members list of potential customers/patients (approximately 3,000 members/month) for Medicaid eligibility, enrollment on a health plan and their selection of a Community Medical Group doctor as their primary health care physician.
2. Utilizes MEVSNET, an electronic data interchange service, and/or the different health plan portals to verify recipient name, date of birth, Medicare number, and social security number from member list.
3. Contacts the client/patient for additional information as necessary.
4. Reconciles member list received from insurance plans to ensure information has been verified correctly.
5. Responsible for coding the customer/patient according to findings, following the reason code list.
6. Responsible for the verification and coding of a minimum of 120 customers/patients a day.
7. Creates a report every three months of patients’ member status to provide to Sr. Data Analyst.
8. Handles confidential information including patient information in an ethical and professional manner.
9. Ensures that all HIPAA standards are in compliance.
10. Perform other duties as assigned.
Job Type: Full-time
Pay: $15.00 per hour
Benefits:
Schedule:
Experience:
Language:
Work Location: One location
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