Website Vali Medical

Vali Medical improves the quality of care, through excellence in education, technology, continuity of care, patient engagement, to promote positive outcomes. Vali Medical has seen an explosion in growth and rapidly expanding their teams.

Reports To: Site Manager

FLSA Status: Non-Exempt

Starting Salary Range – $37,440 to $41,600

Job Summary

Interview patients to obtain/verify manufacturer device information, patient demographic and personal information, and the person who is financially responsible for their outstanding balances (guarantor), and insurance information.  Patient Specialist will provide education and consent to participate in the various home/remote monitoring programs and various manufacturers.  Enter all in information into patient’s electronic health record and/or internal systems.  Contact insurance companies via online resources or by phone to ensure health insurance coverage is active, and that our information is correct.

Mission Statement

Vali Medical improves the quality of care, through excellence in education, technology, continuity of care, patient engagement, to promote positive outcomes.  Vali Medical has seen an explosion in growth and rapidly expanding their teams.

OVERVIEW:

Duties, functions and responsibilities:

  • Interview patients over the phone via incoming and outgoing phone calls to talk with patients about enrollment into the Vali Medical Home Monitoring and RPM programs.
  • Verify demographic, physician, guarantor, and insurance information.
  • Adhere to patient interview script to ensure the collection of registration data elements.
  • Identify and resolve patient’s insurance issues that could result in claim rejections or over-payments. Verify insurance eligibility using on-line systems and manual processes to ensure coverage is in effect and patient is listed on the policy.
  • Order equipment and follow up with patients for successful setups.
  • When necessary, involve and guide the patient through the troubleshooting steps as needed to achieve successful transmission resolution.
  • Escalate issues to the appropriate person when necessary. Represent department with other departments, clinic partners, and insurance companies on an ‘as needed’ basis.
  • Adhere to HIPAA and PHI rules and regulations and maintain the highest level of customer service, confidentiality, data integrity, and compliance.
  • Provide highest quality of care for many patients with various commodities.
  • Ensures that good patient’s relations are maintained and patients claims and complaints are resolved fairly and effectively.
  • Provides timely response to patients inquiries by telephone an in or outbound service center, consistent with service and quality standards.

Required Qualifications

  • Associate’s degree or equivalent experience and certifications in a health care settings; customer-focused interpersonal and communication skills; computer literacy; ability to enter a substantial amount of data while maintaining a high level of accuracy.
  • Two years of work experience in an office or customer service setting with an outstanding record of attendance and punctuality;
  • Demonstrated Intermediate knowledge of patient EMR systems

Desired Qualifications

  • Work experience in a health care setting; registration, billing, and patient care experience; knowledge of group health plans, HIPAA and PHI policies, procedures, regulatory requirements and information systems;
  • Two years of work experience in an office or customer service setting with an outstanding record of attendance and punctuality;
  • Ability to work collaboratively in a team-focused environment;
  • Associate’s or Bachelor’s degree or equivalent experience and education.

Work Schedule

  • Hours: 8:00am to 5:00pm or 9:00am – 6:00pm on weekdays
  • Work at Office in downtown Royal Oak

 

Benefits Summary

  • Paid Time Off – Vacation/sick days/ holidays
  • Medical/Vision/Prescription/Dental Plans
  • Life Insurance/Disability
  • 401(k) with Employer Match

This job requires access to confidential and sensitive information, requiring ongoing discretion and secure information management.

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