Healthcare Insurance Claims Specialist
2 days ago
The Insurance Verification Specialist role involves verifying patient insurance coverage to ensure accuracy and eligibility for proposed healthcare services.
Key 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.
Requirements:
- 1 to 3 years of experience in insurance verification and pre-authorization is required.
- Must be able to work standard business hours.
- Must be able to handle sensitive information with confidentiality.
- Excellent verbal and written communication skills are essential.
- Strong analytical and problem-solving skills are required.
- Attention to detail, multi-tasking, communication, and organizational skills are crucial.
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