Insurance Authorization Specialist

3 days ago


White Plains, New York, United States Insight Global Full time
Job Title: Insurance Authorization Specialist

Insight Global is seeking an experienced Insurance Authorization Specialist to join our team in White Plains, NY.

Job Summary:

We are looking for a highly skilled professional to verify health insurance information and obtain authorizations, pre-certifications, referrals, observation, and scheduled outpatient elective services for oncology infusions.

Key Responsibilities:
  • Verify health insurance information and obtain authorizations, pre-certifications, referrals, observation, and scheduled outpatient elective services for oncology infusions.
  • Use electronic systems or phone/fax to verify health insurance, coverage, and benefits to process payment and approvals for services at the hospital.
  • Contact insurance companies to verify coverage, initiate authorization, clinical documentation, or follow up on prior authorization.
  • Answer phone calls/emails and maintain contact with patients until their cases are closed.
Requirements:
  • 3-5 years of experience working as an Insurance Verification/Authorization Specialist - both commercial and government insurance.
  • Ability to handle high patient volume - around 100 patients/day - with accuracy.
  • Experience using an EMR system - Epic In-Basket Preferred.
  • Knowledge of CPT codes.
  • Hand-on experience utilizing Insurance portals.
  • Experience calling insurance companies via phone/fax.
  • HS Diploma or equivalent.
Preferred Qualifications:
  • Front-end experience - ex. Patient check-in/out, appointment scheduling, patient registration.
  • Willingness to be cross-trained in front-end operations.
Work Environment:

This is a 6-month contract position with the possibility of conversion/extension.

The ideal candidate will be flexible and able to work various shifts, including weekends.



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