Managed Care/Insurance Verification Assistant

Status : Full-time

Office Location: Worcester, MA

Description:

Managed Care/Insurance Verification Assistant - responsible for all initial and ongoing authorizations of services as required by payers in order to ensure payment for services.

Salary: $19.00 per hour

Hours: Monday - Friday 8:30AM - 5:00PM

Hybrid Schedule: 2-3 days in Worcester office

Responsibilities for Managed Care Assistants:

• Obtain authorization for home care services from select payers online, by telephone or fax per insurance company requirements
• Maintains accurate filing systems and utilizes Microsoft applications to organize and store documents
• Acts as liaison between the clinicians and the Utilization Review/Medical Management departments at insurance companies
• Uses reports to identify new referrals, pending authorizations, expiring authorizations and overutilization
• Work with team to problem solve and create efficient processes

Experience Required for Managed Care Assistants:

• Previous experience with managed care, billing and/or home care
• Proficient with MS Office Software; create, open, save and print documents; ability to insert and format text and images.
• Proficient with Outlook; attach, open and save documents in email, utilize calendar
• Proficient with eFax.
• Proficient with Excel
• Knowledge of medical terminology

Education:

• High School Graduate or GED required
• Associate Degree Preferred

Fully Benefited

Founded by Massachusetts most established and trusted home care organizations, VNA Care, VNA of Boston, VNA Hospice & Palliative Care, and VNA Care Advantage; VNA Care has the capabilities and resources to deliver a full range of home health, hospice, and community services to patients of all ages and health care needs.