The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing.
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Identify and solve complex insurance benefit issues.
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Obtain detailed patient information to accurately submit to the proper insurance carriers.
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Contact health care providers to obtain referrals or additional information as necessary.
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Follow up with insurance companies to ensure receipt of patient benefit authorizations.
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Must maintain strong attention to detail to transpose data and information accurately.
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Schedule patient visits when necessary.
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Guide and assist Patient Care Coordinators through difficult accounts.
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Provide information and assist patients when help is needed by researching benefit coverage.
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Assist other departments as needed, including Billing and Front Office.
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Other duties may be assigned.
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Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.
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Preference will be given to candidates with medical insurance and authorization knowledge.
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We offer a comprehensive benefit’s package including Medical, Dental & Vision; 401k with employer match; voluntary disability and life insurance options; Fitness & Wellness reimbursement; paid holidays and paid time off; Flexible work hours; Community volunteer opportunities, and more!