insurance authorization specialist

Drs Rubinstein & Ducoff Inc

Job Overview We are seeking a proactive and detail-oriented Medical Insurance Authorization Specialist to join our healthcare team. In this vital role, you will be responsible for managing insurance authorizations, verifying coverage, and ensuring timely approval for patient services. Your expertise will help streamline the authorization process, reduce delays, and enhance patient care experiences. This position offers an exciting opportunity to work within a dynamic medical environment, utilizing your knowledge of managed care and medical coding to facilitate seamless insurance interactions.Responsibilities<ul><li>Obtain prior authorization and pre-certification from insurance providers for oral sleep appliances and follow up appointments</li><li>Verify patient insurance coverage and benefits accurately using insurance portals and verification systems.</li><li>Review medical records, documentation, and clinical notes to support authorization requests in compliance with HIPAA regulations.</li><li>Utilize CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to prepare accurate documentation for insurance submissions.</li><li>Communicate effectively with healthcare providers, insurance companies, and patients to resolve authorization issues promptly.</li><li>Maintain detailed records of all authorization requests, approvals, denials, and follow-up actions in the medical records system.</li><li>Stay updated on managed care policies, insurance guidelines, and coding changes to ensure compliance and efficiency in the authorization process.</li></ul>Experience<ul><li>Prior experience working in a medical office setting or dental office environment is highly preferred.</li><li>Strong knowledge of managed care processes, insurance verification procedures, and medical billing practices.</li><li>Familiarity with HIPAA regulations to ensure patient confidentiality during all interactions.</li><li>Proficiency in medical terminology, medical records management, and medical coding including CPT, ICD-9, ICD-10, and ICD coding systems.</li><li>Experience with insurance authorization workflows within a healthcare or dental office setting is advantageous.</li><li>Excellent organizational skills with the ability to handle multiple tasks efficiently while maintaining attention to detail.</li><li>Office experience demonstrating proficiency with electronic health records (EHR) systems or similar software. Join us in making a difference by ensuring patients receive the care they need without unnecessary delays! We value energetic professionals who are eager to contribute their expertise in managed care and medical coding while providing exceptional service within a collaborative team environment.</li></ul>Pay: $24.23 - $29.18 per hourWork Location: In person

Medical Insurance Authorization Specialist

Skagit Regional Health

<div>Department: Insurance Verification SVH
 
Exempt: No
 
Schedule: DAYS - VARIABLE
 
Position Type: Full Time 0.6 FTE or More
 
FTE: 1.000000
 
Base Wage $22.96 to $33.31
 
Location: SRH Business Center
<div><div><div><div>The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job.
Other information: 
 
Job Summary
 
The information described in this job description has been designed to indicate the general nature of the work performed. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. Responsible for ensuring the pre-service administrative requirements are met for all scheduled appointments. Works effectively and cooperatively within the workplace. Location/Department specific tasks and competencies may apply.
 
 
Essential Functions
 
Document eligibility, benefit and authorization information in accordance with established guidelines. Initiate all insurance requirements for specific admission type in accordance with established guidelines. Verify prior authorizations and/or pre-service requirements are met prior to date of service for each service type. Refer self pay patients to Patient Financial Services in accordance with established guidelines. Review and resolve denial issues in a timely manner in accordance with established guidelines. Verify current eligibility, benefits and plan coverage in accordance with established guidelines. Track and submit retro-authorization requests, working closely with referring physician offices to resolve issues. Utilize available tools and on-line resources to create efficiencies in the process. Maintain ability to effectively utilize Microsoft Office (Outlook) and department specific software applications to perform work. Communicate effectively and cooperatively in the workplace. Actively contribute to the achievement of Quality Improvement and Lean Process Improvement activities. Complete all mandatory learning requirements in a timely manner. Attend and actively participate in all department, team and/or committee meetings. Comply with all Skagit Regional Health, department and location specific policies and procedures. Perform other duties as assigned by Supervisor or designee.
 
 
Education
 
High School graduate or GED required.
 
 
Experience/Training
 
Minimum three (3) years patient registration experience required strongly preferred. An equivalent combination of education and experience may be considered.
 
 
License/Certifications
 
None required.
 
 
Other Skills
 
Effective verbal, written and interpersonal communication skills required. Must be able to effectively utilize Microsoft Office applications to perform work. Well developed problem solving and analytical skills required. Must be able to effectively prioritize workload amongst frequent interruptions with competing priorities. Knowledge of current coding rules and guidelines. Must possess a basic understanding of anatomy, physiology, disease process and medical terminology. Ability to coordinate work schedule with requirements of position (may include overtime and weekend work).
 
 
Physical Demands and Work Environment
 
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. While performing the duties of this job, the employee is regularly required to sit for long periods of time; when working in office. Repetitive tasks such as typing, sitting, answering phones, and interacting with computers and computer systems most of the day is a function of the position. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to focus. This position requires working in an indoor, environmentally controlled environment when in the office.
Skagit Regional Health offers a comprehensive benefit package including medical, dental, vision, 457b/401a (retirement), long term disability, and paid time off to all employees holding an FTE of 20 or more hours per week. Eligible employees also receive sick time pay.</div></div></div></div></div>

Insurance Authorization Specialist

VitalCaring Group

<div>
 
 Join VitalCaring &ndash; Where Your Passion Changes Lives!
 
 
 
 Are you looking for a career where compassion meets purpose? At VitalCaring, we&rsquo;re more than a home health and hospice provider&mdash;we&rsquo;re a family that supports, inspires, and uplifts both our patients and our team members.
 
 
 
 Who We Are
 
 
 
 Founded in 2021, VitalCaring has grown into a leading provider of home health and hospice services, with over 65 locations across the country. We are committed to fostering a culture of support, growth, and excellence for our team that is the backbone of how we ensure we deliver exceptional patient care.
 
 
 
 Why Choose VitalCaring?
 
 
 
 
 
 Work That Fits Your Life
 
 
 &ndash; Discover the ideal balance of purpose and flexibility. As a full-time salaried clinician, you&rsquo;ll enjoy the stability of a consistent role with the freedom to manage personal commitments throughout your day. Our field team thrives in an environment that empowers them to make a real impact&mdash;while still having the time and space to prioritize what matters most at home. With a generous 6 weeks of paid time off each year, you&rsquo;ll have the opportunity to recharge, reconnect, and return ready to do your best work.
 
 
 
 
 Make a Meaningful Impact
 
 
 &ndash; Help patients and families navigate their healthcare journey with compassion and dignity.
 
 
 
 
 Thrive in a Supportive Team
 
 
 &ndash; Work with a team who genuinely care and invest in your success.
 
 
 
 
 Grow Your Career
 
 
 &ndash; Take advantage of advanced training, mentorship, and career development opportunities.
 
 
 
 
 Competitive Pay &amp; Benefits
 
 
 &ndash; Receive a rewarding compensation package that recognizes your dedication and expertise. Our benefits are designed to empower you with the resources, flexibility, and security needed to thrive both professionally and personally.
 
 
 
 
 Schedule- 11:00am - 8:00pm - CST
 
 
 
 
 
 
 This is a remote position eligible to those who reside in Alabama, Mississippi, Texas, Louisiana, Oklahoma, Arizona, Colorado, or Florida
 
 
 
 
 
 Health &amp; Wellness
 
 
 
 Medical, Dental &amp; Vision
 
 
 Pharmacy Benefits
 
 
 Virtual &amp; Mental Health Support
 
 
 Flexible Spending Accounts (FSAs) &amp; Health Savings Account (HSA)
 
 
 Supplemental Health &amp; Life Insurance
 
 
 
 Financial &amp; Legal
 
 
 
 401(k) with Company Match
 
 
 Employee Referral Program
 
 
 Prepaid Legal Plans
 
 
 Identity Theft Protection
 
 
 
 Work-Life Balance &amp; Perks
 
 
 
 Paid Time Off
 
 
 Pet Insurance
 
 
 Tuition &amp; Continuing Education Reimbursement
 
 
 
 As The Insurance Verification And Authorization Specialist, You Will
 
 
 
 <ul>
 <li>
 Conduct insurance verification through payer portals, phone calls, and HCHB&rsquo;s integrated tools for all new referrals and ongoing patients.
 </li>
 <li>
 Initiate and obtain prior authorizations for home health services including nursing, therapy, and aide services as required by payers.
 </li>
 <li>
 Accurately enter and maintain insurance, authorization, and eligibility information within the HCHB system in real-time.
 </li>
 <li>
 Review patient intake information to ensure payer requirements are identified and addressed early in the admission process.
 </li>
 <li>
 Collaborate with intake, clinical staff, case managers, and billing teams to resolve authorization-related issues promptly
 </li>
 <li>
 Follow up proactively with insurance companies to ensure timely processing of authorizations and appeals.
 </li>
 <li>
 Stay current on payer-specific authorization protocols, documentation requirements, and changes to coverage policies affecting home health.
 </li>
 <li>
 Ensure compliance with HIPAA, Medicare Conditions of Participation, and other regulatory standards.
 </li>
 <li>
 Maintain organized and auditable records of all insurance and authorization communications and decisions within HCHB and agency systems
 
 
 </li>
 </ul>
 
 Skills For Success
 
 
 
 <ul>
 <li>
 Fully remote during agency operating hours
 </li>
 <li>
 Ideal candidate should reside in Texas, Louisiana, Mississippi, Florida, Colorado or Alabama
 </li>
 <li>
 Regular use of computers, phones, and HCHB software system.
 </li>
 <li>
 Requires flexibility and the ability to adapt to frequent changes in payer rules and agency workflows.
 </li>
 <li>
 Work deals mostly with areas such as preparing and reading data and figures, records, reports, visual inspection involving small details. Although important, depth perception and field of vision (peripheral) are not as critical as the ability to distinguish small details and markings very near to the observer.
 </li>
 <li>
 Requires ability to concentrate on fine detail with frequent interruption; ability to focus attention on tasks for 10-20 minutes at a time on a continuous basis, 20-60 minutes on occasion.
 </li>
 <li>
 Requires the ability to remain calm and courteous under stress.
 </li>
 <li>
 Requires working under strict turnaround time guidelines to meet business needs.
 </li>
 <li>
 Requires ability to communicate clearly and make self-understood effectively in face-to-face interactions; articulate with accuracy to communicate using phone.
 </li>
 <li>
 Requires ability to hear and receive verbal instructions correctly, answer phones, communicate professionally in situations with some background noise.
 </li>
 <li>
 Requires ability to understand and relate to specific ideas one at a time and to the concepts behind specific ideas; ability to remember verbal and written tasks/assignments from a few hours to several day periods.
 </li>
 <li>
 Excellent computer software skills necessary to produce accurate documents and materials required.
 </li>
 <li>
 Working knowledge of MS Office, Excel or similar software required. Proficient knowledge preferred.
 </li>
 <li>
 Requires ability to work effectively under minimal supervision; exercise excellent, sound professional judgment and maintain confidentiality.
 </li>
 <li>
 Must have and maintain valid Driver&rsquo;s License, and proof of current valid auto liability insurance.
 
 
 </li>
 </ul>
 
 Experience To Deliver On Our Mission
 
 
 
 <ul>
 <li>
 High school diploma or equivalent required; associate degree or higher preferred.
 </li>
 <li>
 Minimum 2 years of experience in home health authorization/eligibility processes.
 </li>
 <li>
 Proficiency in Homecare Homebase (HCHB) strongly preferred.
 </li>
 <li>
 Strong understanding of traditional Medicare, Medicare Advantage, and commercial insurance guidelines.
 </li>
 <li>
 Experience navigating payer websites/portals (e.g., Availity, Waystar, Palmetto etc.).
 </li>
 <li>
 Detail-oriented with excellent organizational and follow-up skills.
 </li>
 <li>
 Effective communication and customer service skills with both internal teams and external payers.
 </li>
 <li>
 Ability to multitask in a high-volume, fast-paced remote or office environment.
 
 
 </li>
 </ul>
 Come home to VitalCaring where you will find your passion, find your people, and find yourself again. Together we can transform lives and foster hope through genuine caring.
 
 
 
 Explore your future with VitalCaring today.
 
</div>

Insurance Verification & Authorization Specialist

Florida Lung, Asthma & Sleep Specialists, P.A.

Job Summary We are seeking a dedicated and detail-oriented CT &amp; Sleep Authorization Specialist to join our healthcare team. The ideal candidate will possess a strong understanding of managed care processes, medical office procedures, and insurance authorization protocols. In this role, you will be responsible for coordinating and obtaining prior authorizations for computed tomography (CT) scans and sleep studies, ensuring timely approval to facilitate patient care. Your expertise in medical terminology, coding, and insurance verification will be essential to streamline operations and support our clinical teams.Duties<ul><li>Review patient records and medical documentation to determine authorization requirements for CT imaging and sleep studies.</li><li>Communicate effectively with healthcare providers, insurance companies, and patients to facilitate authorization requests.</li><li>Utilize knowledge of CPT coding, ICD-9, ICD-10, and ICD coding systems to accurately prepare documentation for insurance submissions.</li><li>Verify insurance coverage and benefits to ensure compliance with managed care policies.</li><li>Maintain detailed records of authorization requests, approvals, denials, and follow-up actions in accordance with HIPAA regulations.</li><li>Collaborate with medical office staff to coordinate scheduling based on authorization status and patient needs.</li><li>Stay current with changes in insurance policies, coding updates, and healthcare regulations relevant to sleep and imaging services.</li><li>Provide excellent customer service by addressing inquiries related to authorization status promptly and professionally.</li></ul>Qualifications<ul><li>Proven experience in managed care environments or medical office settings, preferably within sleep or radiology departments.</li><li>Strong knowledge of medical terminology, CPT coding, ICD-9, ICD-10 coding systems, and medical records management.</li><li>Familiarity with insurance verification processes and prior authorization procedures for diagnostic imaging and sleep studies.</li><li>Experience working with HIPAA compliance standards to protect patient confidentiality.</li><li>Excellent organizational skills with the ability to manage multiple tasks efficiently in a fast-paced environment.</li><li>Effective communication skills for liaising with healthcare providers, insurance representatives, and patients.</li><li>Prior experience in dental office settings or medical coding is considered a plus but is not mandatory. Join our team as a CT &amp; Sleep Authorization Specialist to play a vital role in delivering seamless patient care through efficient authorization processes while supporting our commitment to excellence in healthcare services!</li></ul>Pay: From $18.00 per hourExpected hours: 40.0 per weekBenefits:<ul><li>401(k)</li><li>401(k) matching</li><li>Dental insurance</li><li>Disability insurance</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

CT & Sleep Authorization Specialist

Retina Vitreous Surgeons of CNY PC

Job Summary Retina-Vitreous Surgeons of Central New York is dedicated to providing highly skilled, state-of-the-art, and compassionate care for all of our patients.We are seeking a dedicated and detail-oriented Authorizations Specialist specializing in Specialty Drugs to join our team.Responsible for determining if patients are eligible to receive scheduled treatment and obtaining insurance prior authorizations for injectable medications.The ideal candidate will possess a strong understanding of medical office procedures, and insurance authorization protocols. In this role, you will be responsible for managing prior authorization requests for specialty medications, ensuring compliance with regulatory standards such as HIPAA, and facilitating seamless communication between healthcare providers, insurance companies, and patients. Your expertise will help streamline the approval process for complex drug therapies, ultimately supporting optimal patient care.Responsibilities<ul><li>Review and verify patient&rsquo;s insurance coverage</li><li>Confirm payer guidelines for treatment have been met (diagnosis, step therapy, etc)</li><li>Request prior authorization for scheduled drug using various insurance portals or confirm authorization on file is still valid</li><li>Work with Benefits Specialist to determine patient&rsquo;s financial responsibility for treatment (copay, coinsurance, etc) and whether enrollment in a foundation is needed</li><li>Answers calls from staff regarding insurance/authorizations and provides support to the clinical staff regarding injections</li><li>Performs other related duties as assigned</li></ul>Education and Experience:<ul><li>HS diploma or GED required</li><li>Knowledge of ICD-10 and CPT codes</li><li>Experience in prior authorizations for specialty drugs is highly desired</li><li>Experience in a retina or ophthalmology practice is highly desired</li></ul>Equipment, Machines and Software Used:Ability to operate a computer, copier/fax and telephoneComputer Software: Nextech: P+ and IntelleChart Pro; Microsoft Office: Outlook, Excel and WordKnowledge, Skills, and Abilities:<ul><li>Computer proficiency including word processing, data entry, spreadsheets, and generating reports using standard software applications.</li><li>Adherence to HIPAA requirements and compliance standards.</li><li>Ability to maintain patient confidentiality.</li><li>Ability to maintain accurate records and data files.</li><li>Problem solving skills.</li><li>Some analytical ability to gather and summarize data, find solutions to various administrative problems, and prioritize work.</li><li>Ability to multi-task in a fast-paced environment.</li><li>Strong interpersonal and communication skills and the ability to work effectively with individuals at all levels of the organization structure.</li><li>Skill in organizing and establishing priorities.</li><li>Ability to create, compose, and edit written materials.</li><li>Must be detail-oriented and well organized.</li></ul>Physical and Mental Requirements:Ability to sit, stand, walk, talk, hear, and perform repetitive hand and wrist motionsAbility to bend, crouch or kneel when necessaryAbility to exert up to 30 pounds occasionally; up 10 pounds frequentlyMinimal force constantly when moving objectsRequires close mental and visual attention when working with computers, telephones and documentation systems.Pay: From $22.00 per hourBenefits:<ul><li>401(k)</li><li>Dental insurance</li><li>Employee assistance program</li><li>Health insurance</li><li>Life insurance</li><li>Paid time off</li><li>Vision insurance</li></ul>Work Location: In person

Authorizations Specialist - Specialty Drugs

PREVEA HEALTH

<div>This position is full-time 40-hours per week. It is full-time benefit eligible. 
 
Prior Authorization Specialist 
 
Come work where we specialize in you! We have nearly 2,000 reasons for you to consider a career with Prevea Health&mdash;they're our employees. We're an organization that values kindness, responsibility, inclusivity, wellness and inspiration. At Prevea, we provide continuous education, training and support so every member of the team contributes to our success. Together we are the best place to get care and the best place to give care.
 
 
Job Summary 
The Prior-Authorization Specialist at Prevea Health is responsible for obtaining and verifying prior authorizations within the appropriate timeline for procedures, diagnostic tests, services and medications. This role ensures that all requests comply with insurance company policies, guidelines, and healthcare regulations. The specialist will collaborate with healthcare providers, patients, and insurance representatives to obtain the necessary approvals. 
 
What you will do
<ul>
<li>Identify and obtain what is required for preauthorization of procedures, diagnostic tests, services and medications. Seeing the process through completion to minimize denial of claims.</li>
<li>Coordinate with department providers and staff, coding/billing staff, and insurance representatives to ensure understanding of information needed to obtain proper authorization for payment within the appropriate timelines.</li>
<li>Review and interpret insurance coverage and policy guidelines to determine authorization requirements.</li>
<li>Communicate with patient as needed for procedures, diagnostic tests, services and medications to provide them with information regarding their coverage.</li>
<li>Accurately document and communicate final determination in the patient's medical record and to appropriate staff, providers, or patient.</li>
<li>Work with internal teams to identify and address trends or issues in the prior authorization process.</li>
<li>Provide feedback and recommendations to improve prior authorization workflows and efficiency.</li></ul> 
 
Education Qualifications
<ul>
<li>High School Diploma and/or GED Required</li>
</ul>
Experience Qualifications
<ul>
<li>1-3 years One year of experience in a medical or insurance role Required</li>
</ul>
Skills and Abilities
<ul>
<li>Display proficient telephone and computer skills with clear and professional speaking abilities.</li>
<li>Excellent organizational skills.</li>
<li>Excellent communication skills and follow through with internal and external customers.</li>
<li>Knowledge of insurance and medical terminology.</li>
<li>Basic knowledge of current CPT/ICD coding.</li>
<li>Able to provide exceptional customer service by assessing patient needs, meeting quality standards, and evaluating satisfaction.</li>
<li>Capable of being empathetic and responsive to patient's needs by actively listening, asking appropriate questions, and continually looking for ways to provide assistance.</li>
<li>Able to efficiently multi-task and adapt to fast-paced environments with frequently changing protocols and processes.</li>
<li>Capable of effectively and positively interacting with staff members throughout the company.</li>
<li>Promote teamwork and provide a supportive environment throughout the organization.</li>
<li>Display grammar, spelling, and punctuation knowledge to accurately document patient information.</li>
<li>Able to work independently and think critically using provided information.</li>
</ul>
Physical Demands
<ul>
<li>Sit - Constantly</li>
<li>Stand - Rarely</li>
<li>Walk - Rarely</li>
<li>Drive - Rarely</li>
<li>Climb (Stairs/Ladders) - Rarely</li>
<li>Bend (Neck) - Frequently</li>
<li>Gross Manipulation (Hands/Arms) - Constantly</li>
<li>Squat - Rarely</li>
<li>Twist/Turn (Neck) - Occasionally</li>
<li>Lift/Carry 0-10 lbs. - Rarely</li>
<li>Lift/Carry 11-25 lbs. - Rarely</li>
<li>Lift/Carry 26-35 lbs. - Rarely</li>
<li>Push/Pull up to 10 lbs. - Rarely</li>
<li>Push/Pull 11-25 lbs. - Rarely</li>
<li>Push/Pull 26-35 lbs. - Rarely</li>
<li>Reach (Above shoulder level) - Rarely</li>
<li>Reach (Below shoulder level) - Constantly</li>
<li>Simple Grasping (Hands/Arms) - Constantly</li>
<li>Fine Manipulation (Hands/Arms) - Constantly</li>
<li>Gross Manipulation (Hands/Arms) - Constantly</li></ul> 
 
Working Conditions
<ul>
<li>Noise - Occasionally</li></ul> 
 
Travel Requirements
<ul>
<li>5%</li></ul> 
 
Hearing Requirements
<ul>
<li>Hears Whispers &lt; 3 feet - Constantly</li>
<li>Hears Whispers 3-8 feet - Constantly</li></ul> 
 
Vision Requirements
<ul>
<li>Color Discrimination - Constantly</li>
<li>Near Vision (Correctable to Jaeger 2 or 20/40 binocular) - Constantly</li>
<li>Distance Vision (Correctable to Snellen chart 20/40 binocular) - Constantly</li></ul> 
 
Prevea is an Equal Employment Opportunity/Affirmative Action employer. In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United State and to complete the required employment eligibility document form upon hire. Prevea participates in E-verify. To learn more about E-Verify, including your rights and responsibilities, please visit www.dhs.gov/E-Verify</div>

Prior Authorization Specialist

Paychex, Inc.

<div>POSITION SUMMARY

The Insurance Benefit Specialist ensures all scheduled surgical cases have accurate, complete, and timely insurance verification, authorization, and financial documentation. This role directly supports clean claims, prevents denials, and ensures patients receive accurate financial estimates prior to their procedure. The Insurance Benefit Specialist may be cross-trained in other functions of the business office.

Role and Responsibilities
<ul>
<li>Verifies all insurance information including authorizations, benefits coverage and claims mailing address and meticulously documents all data into HIS.</li>
<li>Reviews and corrects all insurance information in the HIS. Including but not limited to any deductible, co-payment or patient payments that need to be collected at time of service.</li>
<li>Informs Pre-admissions clerks at center and patients, when applicable, of any deductible, co-payment or patient payments.</li>
<li>Works cooperatively with Scheduling Clerk and Pre-Admissions clerk for cancellations, additions and any changes to the schedule.</li>
<li>Informs Pre-Admissions clerk of insurance benefits for determination of any co-payments and or deductibles that need to be collected.</li>
<li>Communicates with any and every Adjuster, Nurse case manager and Benefits organizer for verifications and plan coverage.</li>
<li>Collaborates with Revenue Cycle Manager on a daily basis.</li>
<li>Works with Scheduling Clerk for accurate insurance information entry into the health information system.</li>
<li>Collaborates with Scheduling Clerk for Insurance Authorizations, claim numbers and adjusters.</li>
<li>Performs related work as required.</li>
<li>Will cross-train to other Business Office positions for back up as needed.</li>
<li>Reports directly to the Revenue Cycle Manager.</li>
<li>Performs other tasks as assigned by the Revenue Cycle Manager.</li>
<li>Must be willing to complete software training to keep up with advances in information technology.</li>
<li>Represents the company in a thoughtful and professional manner to customers, i.e. facility administrators, business office personnel, clinical personnel, physicians, patients and vendors.</li>
<li>Be familiar with the companies policy and procedures and HIPAA regulations.</li>
</ul>
Work experience
<ul>
<li>Minimum of two years&rsquo; experience with Insurance benefits in an Ambulatory Surgery Center.
</li><li>GI experience required</li>
<li>Experience using a medical software billing system. Must be familiar with Windows, Microsoft Office and ASC software.</li>
</ul>
Education Requirements
<ul><li>
High school graduate or equivalent.</li></ul>

Preferred Skills and knowledge
<ul>
<li>Advantx or HST experience preferred.</li>
<li>Must be able to work under pressure.</li>
<li>Possesses excellent communication skills.</li>
<li>Competence in oral and written skills.</li>
<li>Ability to prioritize and complete tasks in a timely manner.</li>
<li>Must possess the ability to perform multiple tasks simultaneously.</li>
<li>Understanding of company products, services and customers.</li>
<li>General understanding of the healthcare environment.</li>
<li>Knowledge of alpha filing system.</li>
<li>Ability to follow oral and written instructions.</li>
<li>Ability to be cross-trained in other areas of the business office.</li>
<li>Working knowledge of Medicare, Medicaid, Worker&rsquo;s Compensation and Managed Care.</li>
<li>Working knowledge Out of Network billing.</li>
<li>Requires knowledge of medical terminology.</li>
<li>Basic knowledge of codes and modifiers.</li>
<li>Ability to access and utilize the Internet.</li>
<li>Requires exposure to automated insurance verification applications generally used within the healthcare industry.</li></ul></div>

Insurance Verification Specialist

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