Insurance Verification Specialist

📋 Description

• Gather and confirm comprehensive insurance details, including the prior authorization process.

• Verify insurance eligibility for the services rendered and accurately document the information in the system.

• Execute prior authorizations required by the payer source, collaborating with physician offices and insurance companies to acquire necessary documentation.

• Collect relevant clinical information such as lab results, diagnosis codes, and more.

• Ascertain the patient's financial responsibilities as outlined by their insurance.

• Ensure proper coordination of benefits information for every referral.

• Confirm that assignment of benefits is obtained and filed for Medicare claims.

• Submit billing to insurance companies for therapies delivered.

• Document all essential communications with patients, physicians, and insurance companies concerning collection procedures.

• Identify and coordinate patient resources related to reimbursement, including copay cards, third-party assistance programs, and manufacturer assistance initiatives.

• Manage incoming calls from patients, physician offices, and/or insurance companies.

• Resolve claim rejections related to eligibility, coverage, and other issues.

• Perform additional duties as assigned.

⛳️ Requirements

• High school diploma.

• Minimum of 1 year of experience in medical billing or insurance verification.

• A Bachelor’s degree in a related field may substitute for professional experience.

• Experience with payors and prior authorization is preferred.

🏝️ Benefits

• Competitive salary.

• Health insurance coverage.

• 401K and stock purchase plans.

• Tuition reimbursement opportunities.

• Paid time off in addition to holidays.

• Flexible work arrangements, including remote, hybrid, field, or office schedules.