Benefits Investigator Job at Infusion4Health Inc, Brea, CA

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  • Infusion4Health Inc
  • Brea, CA

Job Description

Job Description

Job Description

Infusion For Health is dedicated to serving patients with autoimmune disorders and complex chronic conditions through exceptional infusion therapy. Our mission is to provide a patient-focused environment that emphasizes professional care, compassion, and collaboration to ensure optimal treatment outcomes.

Job Description

  • Contact insurance companies to verify patient insurance information, coverage, and benefits.
  • Confirm eligibility and benefits for services rendered, including co-pays, deductibles, and out-of-pocket expenses.
  • Ensure insurance information is entered correctly into the system and updated regularly.
  • Liaise with insurance companies, medical staff, and patients to resolve any discrepancies or issues with coverage.
  • Maintain accurate and up-to-date records of insurance verifications and related communications.
  • Document and report any issues with insurance eligibility or benefit discrepancies to the appropriate departments for further action.
  • Resolve issues regarding claim rejections or delays by contacting insurance providers and obtaining necessary information or approvals.
  • Assist in coordinating prior authorizations when required for certain procedures or services.
  • Ensure compliance with relevant insurance policies, regulations, and legal requirements.
  • Stay up-to-date on industry changes, insurance plan updates, and billing practices.
  • Communicate with patients to request any missing or updated insurance information.
  • Explain coverage details to patients, answering questions about their insurance benefits and how they relate to the services provided.

Qualifications:

  • High school diploma or equivalent; some college or healthcare-related certification preferred.
  • Previous experience in insurance verification, medical billing experience
  • Knowledge of healthcare insurance plans, benefits, and claims processes.
  • Strong attention to detail and organizational skills.
  • Excellent communication skills, both written and verbal.
  • Proficiency with insurance verification software and electronic health record (EHR) systems.

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