What Customer Service Operations contributes to Cardinal Health
Customer Service is responsible for establishing, maintaining and enhancing customer business through contract administration, customer orders, and problem resolution.
Customer Service Operations is responsible for providing outsourced services to customers relating to medical billing, medical reimbursement, and/or other services by acting as a liaison in problem-solving, research and problem/dispute resolution
Job Summary
The Insurance Verification Specialist plays a vital role in the healthcare organization by verifying patient insurance coverage, obtaining authorizations for medical services, and ensuring accurate billing information. They work under the supervision of the Insurance Verification Supervisor, contributing to the efficient operation of the insurance verification process.
Responsibilities
· Verifies patient insurance coverage by reviewing insurance information and contacting insurance providers as needed.
· Confirms eligibility and benefits for medical services according to payer requirements.
· Documents insurance verification details accurately in the electronic health record (EHR) system.
· Assists in obtaining pre-authorizations for medical procedures and services as required by insurance companies.
· Communicates with healthcare providers and insurance carriers to facilitate authorization processes.
· Tracks and updates authorization status in the EHR system.
· Verifies accuracy of patient billing information, including insurance coverage and demographic details.
· Collaborates with billing and coding teams to resolve insurance-related billing issues and discrepancies.
· Ensures timely and accurate submission of insurance claims.
· Provides assistance and information to patients regarding their insurance coverage and benefits.
· Addresses patient inquiries and concerns related to insurance verification and authorization processes.
· Maintain professionalism and empathy while interacting with patients and insurance representatives
· Embraces and exemplifies Cardinal Health values: Invites Curiosity, Builds Partnerships, Inspires Commitment, and Develops self and others
Qualifications
- At least 2 years of college or SHS graduate
- Experience in US Healthcare operations
- With at least 6 months of experience in doing Insurance Verification or Prior Authorization
What is expected of you and others at this level
Applies acquired job skills and company policies and procedures to complete standard tasksWorks on routine assignments that require basic problem resolutionRefers to policies and past practices for guidanceReceives general direction on standard work; receives detailed instruction on new assignmentsConsults with supervisor or senior peers on complex and unusual problemsCandidates who are back-to-work, people with disabilities, without a college degree, and Veterans are encouraged to apply.
Cardinal Health supports an inclusive workplace that values diversity of thought, experience and background. We celebrate the power of our differences to create better solutions for our customers by ensuring employees can be their authentic selves each day. Cardinal Health is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, national origin, ancestry, age, physical or mental disability, sex, sexual orientation, gender identity/expression, pregnancy, veteran status, marital status, creed, status with regard to public assistance, genetic status or any other status protected by federal, state or local law.
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