Medical Insurance Specialist
5 days ago
About the Job:
We are seeking a skilled Medical Insurance Specialist to join our team at Orthopaedic Solutions Management. As a key member of our Patient Services department, you will be responsible for communicating with patients, staff, and physicians to ensure timely authorization and certification of surgical procedures.
Responsibilities:
- Communicate with patients over the phone in a professional and customer service-oriented manner.
- Verify benefit coverage, eligibility, and pre-authorizations for assigned surgical procedures.
- Capture and verify medical necessity guidelines for each procedure.
- Establish good working relationships with primary care physicians' offices, insurance carriers, and hospitals.
- Maintain up-to-date knowledge of major insurance carriers' benefit verification and authorization processes.
- Collect patient pre-surgery deposits and calculate financial responsibilities.
Requirements:
- High school diploma required; 1 year experience in a medical environment with prior insurance verification and pre-authorizations experience.
- Proficient in Microsoft Office applications (Outlook, Excel, Word).
- Excellent verbal and written communication skills, critical thinking, and problem-solving abilities.
Benefits:
- Full-time opportunities available with room for career growth and advancement.
- Competitive salary range: $50,000 - $70,000 per year (estimated based on location and industry standards).
- Excellent job security and stability promoting an optimal work-life balance.
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