Insurance Verification Specialist

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!