Insurance Follow-Up/AR Specialist

3 months ago

Lakewood Ranch, United States Healthcare Firm Full time
Job DescriptionJob Description

We are seeking an Insurance Specialist to join our team

Responsibilities for Insurance Specialist

  • Dealing with claims review, submitting reconsiderations and appeals to payers
  • Obtain and verify insurance authorizations for office appointments and procedures
  • Responsible for ensuring insurance companies and medical practices are contacted to complete the verification process through phone calls and/or web based sites and responsible for obtaining authorizations/ pre-certifications in a timely manner
  • Interfaces with the primary care office and patients regarding any pre-certification issues, verify eligibility and confirms authorization on file
  • Ensures authorizations /pre-certifications issued are correct
  • Documents the insurance and authorization verification information in the applicable computer system in accordance with documented work processes
  • Deals with fair share of payors and will be responsible to get denials turned around quickly

Qualifications for Insurance Specialist

  • Must have someone with claims review and submitting reconsiderations/appeals to payers
  • Prior insurance verification experience required, at least two years preferred
  • Computer literacy required, experience with medical scheduling/billing systems is required
  • Utilize appropriate communication system to facilitate communication with facility and other departments as required
  • Provides support for the scheduling and pre-registration departments as needed
  • Collaborate with billing staff to ensure proper billing and reimbursement processes
  • Acts as source of reference for team members

Benefits:

  • 401(k)
  • Dental insurance
  • Employee assistance program
  • Flexible spending account
  • Health insurance
  • Health savings account
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift; 8:30a-5p
  • Day shift
  • Monday to Friday
  • Overtime

Ability to commute/relocate:

  • Lakewood Ranch, FL: Reliably commute or planning to relocate before starting work (Required)

Education:

  • High school or equivalent (Required)

Experience:

  • E-Clinical proficiency (Preferred)
  • Insurance verification: 2 years (Preferred)

Equal Opportunity Employer

Company DescriptionThis is a wonderful career opportunity to join a prestigious company and team in a beautiful cityCompany DescriptionThis is a wonderful career opportunity to join a prestigious company and team in a beautiful city

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