Insurance Verification & Authorization Specialist

Gentell Inc

Insurance Verification & Authorization Specialist

Job Summary

The Insurance Verification Specialist is responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders. This role ensures accurate insurance information, timely approvals, while reducing denials and improving revenue.

Key Responsibilities

Verify patient insurance eligibility, benefits, and coverage details
Obtain prior authorizations for patient orders
Communicate with insurance companies to confirm coverage and authorization status
Work closely with staff to resolve insurance issues
Document verification and authorization details accurately in the system
Follow up on pending authorizations to ensure timely approval

Work Details

Employment type: Full-time in office
Schedule: Monday-Friday
Location: Yardley, PA

Requirements

Desired Minimum Qualifications

Experience with insurance verification, prior authorizations, or medical billing
Knowledge of medical insurance plans, including Medicare, Medicaid, Managed care and Commercial payers
Strong attention to detail and organizational skills
Ability to communicate clearly with insurance representatives and internal teams
Proficiency in HCPC coding, ICD-10 coding, and allowable.
Proficient in computer systems, including advanced knowledge of medical billing software applications.

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Vacancy posted 5 days ago

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