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Insurance Authorization Specialist
2 months ago
Kansas Spine & Specialty Hospital is a regional center for the diagnosis and treatment of disorders of the spine, neck, and joint.
We are dedicated to improving the quality of life of our patients by providing access to a specialized team of healthcare professionals, including anesthesiologists, pain management specialists, internal medicine physicians, and nurses.
Job SummaryWe are seeking a highly organized and detail-oriented Insurance Authorization Specialist to join our team. The successful candidate will be responsible for verifying insurance coverage and determining patient financial responsibility.
Key Responsibilities:- Verify current eligibility for patient's date of service for all insurances, including worker's compensation, accident insurance, and state programs.
- Verify patient's specific benefits, including remaining deductible and out-of-pocket expenses, to determine patient financial responsibility.
- Confirm insurance authorization for services by obtaining precertification information from physician's offices and verifying procedure, status, and date of service accurately with insurance.
- Review Out-Of-Network Insurance Plans for In-Network vs. Out-Of-Network benefits and provide calculation of estimated charges, cost, and payment to Patient Accounts Manager and/or CFO.
- Document and scan insurance eligibility and authorization prequalification for all payers before date of scheduled admission.
- Perform admission of patients by completing all fields as required in an accurate and timely manner.
- Verify physician orders, patient information, insurance information, and obtain any additional needed information at the time of admission.
- High School diploma or equivalent.
- Minimum one-year previous experience with insurance authorization, verification, admissions, and reception duties.
- Additional training or courses in business office activities preferred.
- Demonstrated ability to work independently, prioritizing and managing multiple tasks efficiently.
- Computer skills, basic office skills, accurate typing, and knowledge of medical terminology required.
