
Insurance Industry Professional
5 days ago
About the Position
We are seeking a detail-oriented and organized insurance professional to join our team as an Insurance Verification Specialist. The ideal candidate will have 1-3 years of experience in insurance verification and pre-authorization, with strong analytical and problem-solving skills.
The selected individual will work closely with healthcare providers to gather relevant clinical information and facilitate the prior authorization process. They will also be responsible for verifying patient insurance coverage, preparing and submitting comprehensive authorization requests, and monitoring the status of authorization requests.
This is a full-time position requiring a commitment of working hours from 8am to 5pm EST. The successful candidate must be able to handle sensitive information with confidentiality and possess excellent verbal and written communication skills.
The company offers a competitive salary package, including paid medical insurance, annual salary increases based on performance review, annual year-end bonus, and monthly bonuses. We also provide career development plans, casual wear in the office, flat organization with an open-door policy, and company-paid certifications and training.
Responsibilities:
- Verify patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.
- Prepare and submit comprehensive authorization requests to insurance companies with all required documentation.
- Collaborate with healthcare providers to gather relevant clinical information and facilitate the prior authorization process.
- Monitor the status of authorization requests, follow up with insurance companies, and maintain detailed records of communications.
- Investigate and address insurance denials, resubmitting requests and appealing denials when necessary.
- Communicate with patients to explain the prior authorization process, potential delays, and any financial responsibilities.
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