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Regional Verification Specialist

Company: OPCO Skilled Management
Location: Irving
Posted on: January 25, 2023

Job Description:

OPCO Skilled Management - Your Job Summary
The Regional Verification Specialist will be responsible to direct the patient benefit activities of the organization, lead/manage each facility's corresponding team members in maintaining the highest standards in the benefits process for Medicare and Medicaid, ensuring accuracy and overseeing timely and effective responses.
Your Job Responsibilities


Responsible for communicating efficiently with the facility regarding benefits for Medicare and Medicaid referrals.


Attains benefit verification for Medicare and Medicaid referrals to ensure facility reimbursement.


Provide excellent customer service to patients, facility staff, and referral sources.


Ensure response to internal and external communication timely and accurately.


Builds repour with the facility staff to obtain any necessary information needed to complete benefit verifications.


May require contact with MCO's and Medicare.


Safeguard all verification documentation for future access.


Provide facilities with a detailed explanation of benefits.


Adhere to professional standards as outlined by protocols, rules, and regulations.


Performs any miscellaneous work assignments as may be required.


Ensure compliance with all State and Federal laws in relation to your position.


Manage the Funding Verification Specialist position to ensure therapy fund verifications are completed timely and accurately, also provide training and education.


Other duties, responsibilities and activities may change or assigned at any time with or without notice.

Your Qualifications
--- - - - - - - High School Diploma
--- - - - - - - At least two (2) years of work experience.

Keywords: OPCO Skilled Management, Irving , Regional Verification Specialist, Other , Irving, Texas

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