Insurance Claims Specialist
4 weeks ago
As a key member of our team at Persante HealthCare, the Insurance Specialist will play a vital role in ensuring seamless insurance pre-certification and authorization processes for outpatient diagnostic procedures. This position requires excellent communication skills, attention to detail, and proficiency in working with payor online portals.
Key Responsibilities:
Verify patient benefits and referral requests
Submit and ensure accurate data submission to insurance carriers
Obtain pre-authorization/pre-determination for services waiting to be scheduled
Document detailed communication with payers and provide clinical documentation to nurses for timely review
Maintain patient confidentiality
Utilize online and phone communication to obtain authorizations from insurance companies
Requirements:
High School Diploma
1 year of experience in the healthcare industry
Basic knowledge of health insurance payors
Preferred Qualifications:
Bachelor's Degree
3 years of experience in the healthcare industry
Experience in utilizing payor portals online to verify benefits coverage and submit authorizations
Benefits:
Medical, Dental, Vision, and Prescription Plans
Paid Time Off and Holidays
401(k) with Company Matching
Flexible Spending Plan
Life Insurance
Short-Term & Long-Term Disability
Equal Opportunity Employer:
Persante HealthCare is an equal opportunity employer. We value diversity and are committed to providing a workplace free from discrimination. All qualified individuals are encouraged to apply.
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