Insurance Claims Examiner
2 days ago
We are seeking a detail-oriented and organized insurance professional to verify patient insurance coverage and process authorization requests.
Key Responsibilities:
- Verify patient insurance eligibility for proposed healthcare services, ensuring accuracy and compliance with insurance policies.
- Prepare and submit comprehensive authorization requests to insurance companies, including all required documentation.
- Collaborate with healthcare providers to gather clinical information and facilitate the prior authorization process.
- Monitor authorization request status, follow up with insurance companies, and maintain detailed records of communications.
- Investigate and address insurance denials, resubmitting requests and appealing denials when necessary.
Requirements:
- 1-3 years of experience in insurance verification and pre-authorization is required.
- Must be able to work in a fast-paced environment.
- Excellent communication skills, both verbal and written.
- Strong analytical and problem-solving skills.
- Attention to detail, multi-tasking, and organizational skills are essential.
About Our Team:
We are a technology company dedicated to delivering excellence in warehousing solutions. We value meritocracy, opportunity, integrity, innovation, humanity, passion, teamwork, and opportunity.
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