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Insurance Verification and Authorization Specialist
4 months ago
Job Summary:
**Responsibilities**
- Verify patient insurance coverage and eligibility through various methods, including online portals and phone calls
- Submit prior authorization requests to insurance companies through various channels (phone, fax, online portals)
- Communicate with healthcare providers to gather required clinical information for authorization submissions
- Obtain necessary authorizations and referrals for medical services
- Communicate with insurance companies to resolve any coverage issues or discrepancies
- Maintain accurate records of all prior authorization activities and outcomes
- Collaborate with medical billing team to ensure accurate and timely submission of claims
- Maintain confidentiality of patient information in accordance with HIPAA regulations
- Assist patients with insurance-related inquiries and provide guidance on coverage and benefit
**Experience**:
- Minimum of 2 years of experience in insurance verification or related field
- Knowledge of medical terminology, ICD-9 coding, and medical records management
- Familiarity with Medical/dental office operations is a plus
- Strong attention to detail and accuracy in data entry and documentation
- Excellent communication skills, both written and verbal
- Ability to multitask and prioritize workload in a fast-paced environment
- Proficient computer skills, including experience with electronic health record systems
**Job Types**: Full-time, Part-time
Pay: $20.00 - $22.00 per hour
Expected hours: 20 - 35 per week
**Benefits**:
- 401(k)
- 401(k) matching
- Disability insurance
- Life insurance
- Paid time off
- Retirement plan
Weekly day range:
- Monday to Friday
- Weekends as needed
**Experience**:
- Insurance verification: 1 year (required)
- PRIOR AUTHORIZATION: 1 year (required)
Ability to Relocate:
- Valhalla, NY 10595: Relocate before starting work (required)
Work Location: In person