Authorization and Insurance Verification Specialist

The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing.  

What You'll Do:

• Identify and solve complex insurance benefit issues. 
• Obtain detailed patient information to accurately submit to the proper insurance carriers. 
• Contact health care providers to obtain referrals or additional information as necessary. 
• Follow up with insurance companies to ensure receipt of patient benefit authorizations. 
• Must maintain strong attention to detail to transpose data and information accurately. 
• Schedule patient visits when necessary. 
• Guide and assist Patient Care Coordinators through difficult accounts. 
• Provide information and assist patients when help is needed by researching benefit coverage. 
• Assist other departments as needed, including Billing and Front Office. 
• Other duties may be assigned. 

Qualifications:

• Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.  
• Preference will be given to candidates with medical insurance and authorization knowledge. 

Compensation Package:

• We offer a comprehensive benefit’s package including Medical, Dental & Vision; 401k with employer match; voluntary disability and life insurance options; Fitness & Wellness reimbursement; paid holidays and paid time off; Flexible work hours; Community volunteer opportunities, and more!