Insurance Verification Specialist
4 weeks ago
Job Summary
The Pre-Service Pre-Cert Representative plays a crucial role in ensuring seamless patient access to care by verifying insurance requirements and obtaining necessary authorizations.
Key Responsibilities
- Validate patient insurance coverage through HDX and insurance portals
- Obtain authorizations via Recondo tool and/or hospital authorizations on behalf of physician practices
- Work closely with patients, physicians, and hospital staff to resolve insurance-related issues
- Stay up-to-date with changing insurance plans, products, and authorization processes
Requirements
- High School Diploma or equivalent required
- Some college and/or CHAA certification preferred
- Minimum one-year experience in hospital registration or physician's office verifying medical insurance coverage
Preferred Qualifications
- Working knowledge of insurance plans, products, and authorization processes
- Familiarity with 3rd party vendor processes used for authorization submission
- Ability to work independently and as part of a team
- Excellent communication and customer service skills
Working Conditions
- Fast-paced environment with a diverse patient population
- Ability to work in a team-oriented setting
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