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Insurance Authorization Specialist

3 months ago

Tampa, United States ENT and Allergy of FL. Full time
Job DescriptionJob Description

ENT and Allergy Associates of Florida is currently seeking a Insurance Authorization Specialist for a full-time position at our Tampa Bay Hearing and Balance Center - Downtown office. Our practice provides comprehensive specialty Otolaryngology and Neurotology medical and surgical care within the convenience of one medical group. Patient care is our top concern, and because we can provide both diagnosis and rehabilitative services, our patients know they can depend on our team for all their needs.

Insurance Authorization Specialist Description:

This is an excellent opportunity for an individual looking for a Full time, Monday -Friday Insurance Authorization Specialist (IAS) position in the Tampa Bay area. This individual will verify and interpret benefits to ensure maximum payment for patients under their hearing aid benefit. In addition, the IAS will assist patients and their families in obtaining any authorization, referral or pre-certification which may be required for payment of services. The IAS will be able to review benefits for Physician visits, Allergy testing, hearing aid purchases and how the patient's choice of technology impacts the patient's out of pocket cost. The IAS will also serve as a liaison for the patient to assist in education of payment options. The Insurance Verification Specialist will also perform all duties in a team environment demonstrating flexibility in work assignments and a commitment to the Department's mission and goals.

Insurance Authorization Specialist Responsibilities:

  • Verify, interpret and accurately document patient health insurance.
  • Document all patient conversations/ follow up efforts.
  • Forward information to office managers/providers/family members as necessary to assure understanding of medical benefits.
  • Provide patients with intake and new patient forms as well as copies of our office policies and legally required documents.
  • Maintain hard copy patient records as well as the files stored in our EHR.
  • Billing functions such as requests, follow-up, obtaining authorizations/referrals, and verification of health benefits.
  • Ensure financial information and insurance have both been verified.
  • Responsible for knowledge of insurance coverages, documentation of authorizations, and communicating the status of authorizations and financial responsibility to the patient and practice staff.
  • Communicate with the scheduling department to verify each patient's insurance requirements have been satisfied for upcoming appointments.
  • Assistance in scheduling appointments as requested.

Insurance Verification Specialist Requirements:

  • Strong organizational skills.
  • Strong customer service and interpersonal skills.
  • Strong written and verbal communication skills with a clear speaking voice.
  • Must have extensive insurance verification and benefits knowledge.
  • The ability to work in a team environment.
  • Must have familiarity with payer contract language, i.e.: allowables, contracted rates, etc.
  • Strong computer literacy and familiarity with online portal use for insurance based programs.
  • Must have a clear and strong understanding of HMO/PPO plans, in-network, and out-of-network insurance benefits, and how they work with payers along with deductibles, copays, and coinsurance.
  • Working knowledge of Medical Terminology, Insurance Terminology, ICD.10 and CPT codes.
  • Bi-lingual is a plus.

Benefits Insurance Authorization Specialist Receptionist:

  • Medical, Dental and Vision: Effective 1st of the month after 60 days of employment.
  • Company paid STD, LTD, Life: Effective 1st of the month after 1 year of full-time employment.
  • 401(K): Effective 1st of the month after 1 year of employment.
  • 6 Paid Holidays: Effective immediately.
  • PTO: Time earned per pay period

Physical Demands: Coordination, manual, and physical dexterity sufficient to properly and adequately use various items of medical equipment and office equipment as required of the position or directed by the Manager. The position may involve sitting, standing, bending, and stooping. Incumbent must also be able to assist patients in transferring from wheelchair to an exam chair, when necessary. Responsibilities may also require the incumbent to travel between ENTA offices for support purposes. The incumbent must also be capable of lifting up to 25 pounds.

This company is an equal-opportunity employer.

We are a tobacco free workforce.

We perform full Criminal, Government, Credit, Drug (to include Nicotine and Tobacco) drivers and professional license background checks on all applicants being considered for positions.