
Healthcare Insurance Verification Specialist
1 day ago
This role involves verifying patient insurance coverage, ensuring accuracy and eligibility for proposed healthcare services.
The ideal candidate will possess 1-3 years of experience in insurance verification and pre-authorization, exceptional verbal and written communication skills, strong analytical and problem-solving abilities, and the capacity to work in a fast-paced environment.
Key Responsibilities- Verify patient insurance coverage and ensure 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.
- 1-3 years of experience in insurance verification and pre-authorization.
- Exceptional verbal and written communication skills.
- Strong analytical and problem-solving abilities.
- Capacity to work in a fast-paced environment.
This role offers the opportunity to make a meaningful contribution to the healthcare industry while developing valuable skills and expertise.
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