Insurance Verification Specialist
1 day ago
The primary responsibility of this role is to validate patient insurance coverage, ensuring the accuracy and eligibility for proposed healthcare services.
Key Responsibilities:
- Verify patient insurance coverage, confirming 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.
- Ensure compliance with healthcare regulations, privacy laws, and insurance company policies.
Requirements:
- At least 1 to 3 years of experience in insurance verification and pre-authorization is required.
- Ability to work from 8am to 5pm EST.
- Capacity to handle sensitive information with confidentiality.
- Ability to work in a fast-paced environment.
- Excellent verbal and written communication skills are essential.
- Strong analytical and problem-solving skills are required.
Cyzerg offers a dynamic work environment with opportunities for career growth and development. We prioritize employee satisfaction and offer various benefits including paid medical insurance, time off, and bonuses.
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