Required skills: -1-5 years of experience required-CPT and ICD 9/10 coding knowledge -Epic/Health Connect experience a plus -Medical terminology -Strong communication skills -Ability to multi task and adapt to frequent change with ease. -A medical background is preferred (front or back office, billing, claims, etc). -Reliable and comfortable working in a fast paced environment.Daily responsibilities: -Review requests for outside medical care -Verify eligibility, coverage, benefits, confirm provider status, maintain compliance timeframes Preferred experience: -Medical office background -Claims processing or other insurance carrier experience Educational requirements: -High school diploma or GED required -2 years of college preferred Experience with Insurance and durable medical experience perferred.
Process outside referral requests, review member eligibility and benefits, issue authorization letters to KP members. Processing outgoing mail for department.