Insurance Verification Specialist
6 days ago
**About Marcos Consulting Group Inc**
We are seeking a highly skilled Insurance Verification Specialist to join our team. As a key member of our operations team, you will play a critical role in ensuring the smooth processing of medical claims.
Key Responsibilities:
- Conduct thorough insurance verification and authorization validation on scheduled patients to guarantee eligibility and accurate claim submission.
- Establish and maintain effective communication with payers via telephone and/or online platforms.
- Request pre-authorization for scheduled procedures, urgent procedures, and imaging services.
- Accurately document account actions taken for pre-certification purposes.
- Coordinate peer-to-peer reviews with providers for denied requests.
- Follow up on pending authorization requests in a timely manner.
- Collaborate with the patient and/or office to ensure accurate financial responsibility, facilitating the collection of copayments, deductibles, and co-insurance for procedures.
Requirements:
- Experience with podiatric services is highly desirable.
- Strong analytical and problem-solving skills.
- Excellent communication and interpersonal skills.
- Ability to work in a fast-paced environment and meet deadlines.
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