Insurance Verification Specialist

Job Description

Job Description

Critical need for an Insurance Verifier for contract to hire role within one of the highest ranked Healthcare Systems in Atlanta! Ready to interview TODAY!

_ Job Responsibilities _

• Interviews patients and / or family members as needed to secure information concerning insurance coverage, eligibility, and qualification for various financial programs.
• Coordinates and performs verification of insurance benefits by contacting insurance provider and determining eligibility of coverage and communicates status of verification / authorization process with appropriate team members in a timely and efficient manner.
• Provides clinical information as needed, emphasizing medical justification for procedure / service to insurance companies for completion of pre-certification process.
• Confirms referring physician has obtained prior authorization as needed from insurance company for all scheduled healthcare procedures within assigned department / area.
• Contacts referring physicians and or / patients to discuss rescheduling of procedures due to incomplete / partial authorizations.
• Acts as liaison between clinical staff, patients, referring physician’s office, and insurance by informing patients and families of authorization delays / denials, answering questions, offering assistance, and relaying messages pertaining to authorization of procedure / service.
• Maintains tracking of patients on schedule, ensuring that eligibility and authorization information has been entered into data entry systems.
• Pre-screens doctor’s orders (scripts) received for new patients to ensure completeness / appropriateness of scheduled appointment.
• Collaborates with Appeals department to provide all related information to overturn claims denied.
• Monitors insurance authorization issues to identify trends and participates in process improvement initiatives.
• Responds to all inquiries from throughout the system and outside related to authorization / pre-certification issues.
• Provides ongoing communication to physician offices, patients / families, and others as necessary to resolve insurance authorization issues.

Apply NOW!

Requirements :

Must  have experience with  Epic

High volume, fast paced office

They need someone that can hit the ground running. A quick learner with excellent communication skills.

Schedule :

M-F

Insurance Verification : 8-4 : 30

Apply NOW!