Insurance Authorization Specialist

4 days ago


Sarasota FL United States Florida Digestive Health Specialists LLP Full time
The Insurance Authorization Specialist role involves close coordination with healthcare providers, insurance companies, and patients to verify coverage and secure approvals. The ideal candidate will possess strong communication skills, attention to detail, and a solid understanding of healthcare insurance processes.

Our organization is committed to delivering high-quality gastroenterology services and fostering advanced research for digestive health problems.

Essential Duties:

* Obtain prior authorizations for medical procedures, treatments, and services by contacting insurance companies.
* Accurately enter and update authorization information in the electronic medical record system.
* Inform patients of authorization status, coverage details, and potential out of pocket expenses.
* Work closely with physicians and other healthcare providers to gather necessary documentation.
* Collaborate with the Central Billing Office to ensure accurate claims submission.
* Assist with billing data preparation and medical claim submission.
* Address and resolve issues related to insurance authorizations.
* Maintain knowledge of insurance policies and regulatory requirements.
* Ensure HIPAA compliance and patient confidentiality.

Qualifications:

* High School Diploma or equivalent.
* Minimum 2 years' experience in medical billing, insurance verification, or authorization processes.
* Knowledge of healthcare insurance plans, medical terminology, and HIPAA regulations.
* Proficiency in EMR software and basic computer applications.
* Strong organizational skills and attention to detail.

Benefits:

* Competitive salary.
* Comprehensive benefits package, including health insurance and paid time off.
* Positive and collaborative work environment.

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