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Insurance Verification Specialist

2 months ago

Kenosha, Wisconsin, United States Centers for Independence Full time
Job Title: Insurance Verification Specialist

At Centers for Independence, we are seeking a highly skilled Insurance Verification Specialist to join our team. As an Insurance Verification Specialist, you will play a critical role in ensuring compliance with payer contractual requirements and facilitating timely communication with payers.

Key Responsibilities:
  • Verify insurance coverage and pre-authorization requirements for patients
  • Communicate with payers to resolve authorization issues and ensure compliance
  • Document all authorization-related information in the patient's electronic health record (EHR)
  • Collaborate with healthcare providers and departments to resolve authorization issues
  • Perform electronic eligibility confirmation and verify insurance for encounters and visits
  • Generate forms for insurance companies and notify providers of denied procedures
Requirements:
  • 3+ years of experience in medical billing, insurance verification, managed care, and/or patient registration
  • 3+ years of experience working with health insurance plans, including Medicare, Medicaid, and commercial carriers
  • 3+ years of experience with EHR systems and prior authorization processes
  • Strong knowledge of insurance requirements and regulations
  • Excellent communication and problem-solving skills
Working Conditions:

This is a full-time position that requires working in an office environment with various office equipment. The ideal candidate will have strong organizational and time management skills, with the ability to work independently and as part of a team.

This job description is a general outline of the essential functions of this position and shall not be construed as an all-inclusive description of all work requirements and responsibilities that may be inherent in this position.