Eligibility and Authorization Specialist
2 weeks ago
Schedule - Monday- Friday 8am-5pmLocation - Peoria, AZPay Rate- $19-$21ph2 years of experience performing insurance verification or working with medical insurance programs required.
Responsibilities
- Responsible for effective and efficient verification and authorizations of all patients’ benefits.
- Utilization of electronic verification/eligibility technology or contacting insurance companies to verify and/or obtain patient eligibility and benefits.
- Verify existing patient insurance coverage and update the information in the practice management software system.
- Responsible for obtaining all referrals and authorizations for procedures and services, as required.
- Responsible for acting as a liaison between patients, healthcare providers, and insurance carriers to ensure all proper measures are taken and information is collected.
- Address rejected claims related to patient eligibility, authorization, or demographics.
- Responsible for answering incoming calls from other providers, recipients, and carrier groups in relation to insurance coverage.
- Ensures all patient questions are answered and issues are resolved timely by utilizing the appropriate resources.
- Maintain up-to-date knowledge of specific clinical services, registration, and pre-registration requirements for all departments.
- Maintain awareness of federal and state health care legislation and regulations, OSHA, and HIPAA.
- Maintain patient and company confidentiality.
- Other duties as assigned by the Eligibility & Authorization Specialist Coordinator and Revenue Cycle Manager.
- High school diploma or equivalent
- 2 years of experience performing insurance verification or working with medical insurance programs.
- Excellent organizational skills and the ability to multi-task.
- Ability to operate basic office equipment, answer multi-line telephones, and have a strong computer background.
- Strong written and oral communication skills.
- Knowledge and skills in working with computerized billing systems including practice management software and EMR.
- Must adhere to all HIPAA guidelines and regulations.
- Knowledge of medical insurance and authorization processes
- Knowledge of medical terminology and experience working in a healthcare or insurance environment.
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