Authorization and Insurance Verification Specialist
4 weeks ago
Job Summary
The Authorization Specialist will play a crucial role in ensuring the financial security of scheduled surgical procedures at The Vascular Care Group. This involves verifying insurance eligibility and coverage for incoming patients, as well as coordinating with other departments to ensure timely documentation and processing of claims.
Key Responsibilities
- Monitor upcoming surgical cases and procedures to ensure accurate verification of insurance eligibility and coverage.
- Collaborate with other departments to ensure timely documentation and processing of claims.
- Verify patient demographic information and insurance eligibility, including coordination of benefits.
- Document authorizations and progress of authorizations in the patient's chart.
- Ensure compliance with industry regulations and maintain confidentiality of patient information.
Requirements
- Bachelor's degree preferred.
- 1+ years of surgical insurance verification experience required.
- Working knowledge of eligibility, verification of benefits, and prior authorizations from various HMOs, PPOs, commercial payers, and other funding sources.
- Excellent written and verbal communication skills, with close attention to detail.
- Ability to analyze data and work independently within a fast-paced work environment.
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