Insurance Verification Specialist

Location:
Englewood

Job Description:

Insurance verification/authorization specialists are responsible for interpreting and explaining insurance plans to both patients and team members within the practice. The insurance verification/authorization specialist is responsible for obtaining precertifications for procedure and office visits. Maintain a high level of organization. Possess a positive and warm attitude as well as a team player.

Job Responsibilities:

  • Verifies insurance coverage and obtains insurance authorizations/referrals/pre-certification as required for all new/established patients.
  • Verifies insurance information every 90 days on all established patients and follows up on referrals/authorizations to assure they are current and active.
  • Pulls daily a list of add on appointments. Verifies insurance if over 90 days and requests referral/authorization when needed.
  • Maintains appropriate knowledge of insurance requirements to include knowledge of which carriers require referrals and/or authorizations and pre-certifications.
  • Has sufficient knowledge of correlation between procedures and payable diagnosis.
  • Communicates with patients to advise if written referral is required prior to appointment/procedure. Provides information regarding Authorizations Process, schedules and procedures to assure efficient capture of revenue for services rendered.
  • Maintains ongoing communication with Practice Administrator and the RCS responsible for other functions of the Revenue Cycle.

Qualifications:

  • Minimum of 2+ years in customer service
  • Insurance verification: 1 year (Required)
  • High school or equivalent (Preferred)
  • Medical billing: 1 year (Preferred)

 

Schedule:

  • Monday through Friday
  • Full-Time

Salary and Benefits:

  • Pay range: $15-20/hour
  • Health, dental, vision, and disability insurance, matching 401K, paid vacation and holidays, employee discounts