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Insurance Verification Specialist

4 months ago

Spring, United States Sterling Ridge Orthopaedics & Sports Medicine Full time

Job Type

Full-time

Description

We are looking for a full-time Insurance Verification Specialist to join our top notch team of professionals

Position will be located at our Spring Office

20639 Kuykendahl Rd Suite 200 Spring, TX 77379

Hours: Monday - Friday 8:00 AM - 5:00 PM or 8:30 AM to 5:30 PM, with rotating Saturdays (every 8-10 weeks)

Job Summary:

  • Responsible for all aspects of insurance verification and authorizations including Surgery Authorizations, VISCO injections, Physical Therapy, Occupational, DME and MRI insurance obtaining benefits, getting authorizations, and scheduling patients.
  • Responsible for confirming referral verifications.
Essential Duties:
  • Responds promptly to patient and staff needs.
  • Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet.
  • Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement.
  • Update patient information as needed in Athena.
  • Participates in facility committees, meetings, in-services, and activities.
  • Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures.
  • Perform other miscellaneous office/clerical duties as needed.
Education and Qualifications:
  • High School Diploma or GED certificate.
  • Graduate of a certified medical office training course preferred
  • Basic knowledge of ICD-10 coding
  • 2 years' experience insurance verification process required.
  • Knowledge of EMRs, Athena preferred.

This is not a full job descriptions.

We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.