We are seeking an experienced Insurance Verification Representative to join our team. The ideal candidate must have a strong background in insurance verification, medical terminology, medical coding, in-depth knowledge of payer benefits and medical policies. As an Insurance Verification Representative, you will play a crucial role in ensuring that all necessary authorizations for surgical procedures are obtained promptly and accurately.
Duties:
· Verify insurance coverage and obtain prior authorizations for surgical procedures via NaviNet, Availity, PEAR and other payer websites.
· Review and obtain prior authorization requests according to established guidelines as well as develop new protocols as necessary.
· Communicate with insurance companies, and patients regarding authorization status and plan limitations.
· Maintain accurate and detailed records of authorization requests and approvals
· Obtain any out-of-pocket or out-of-network costs for the patient
· Collaborate with surgical coordinator team to resolve any authorization related issues.
Skills:
· Proficiency in medical terminology, ICD-10 coding systems
· Experience in insurance verification and prior authorization processes
· Familiarity with HIPAA regulations and patient confidentiality
· Strong attention to detail and accuracy
· Excellent communication skills to interact effectively with healthcare professionals, insurance providers, and patients.
Job Type: Full-time
Pay: $20.00 - $24.00 per hour
Expected hours: 40 per week
Benefits:
- 401(k)
- 401(k) matching
- Dental insurance
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
- Referral program
- Vision insurance
Weekly day range:
- Monday to Friday
- No weekends
Experience:
- Insurance verification: 3 years (Required)
- Medical billing: 3 years (Required)
Ability to Commute:
- Bala Cynwyd, PA 19004 (Required)
Ability to Relocate:
- Bala Cynwyd, PA 19004: Relocate before starting work (Required)
Work Location: In person