Healthcare Insurance Verification Professional
19 hours ago
We are seeking a detail-oriented and organized insurance professional to join our team as an Insurance Specialist.
- 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.
The ideal candidate will have 1 to 3 years of experience in insurance verification and pre-authorization, excellent verbal and written communication skills, and strong analytical and problem-solving skills.
Responsibilities:
- 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.
- Ensure compliance with healthcare regulations, privacy laws, and insurance company policies.
Requirements:
- 1 to 3 years of experience in insurance verification and pre-authorization required.
- Must be able to work from 8am to 5pm EST.
- Must be able to handle sensitive information with confidentiality.
- Must be able to work in a fast-paced environment.
- Excellent verbal and written communication skills.
- Strong analytical and problem-solving skills.
- Strong attention to detail, multi-tasking, communication, and organizational skills are essential.
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