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Insurance Verification & Prior Authorization Specialist

Vein Clinics of America, Inc.

Insurance Verification Specialist Position Details Location: Northbrook, IL Schedule: Full‑Time, Monday‑Friday (on‑site) Compensation: $23‑$26hr based on experience and qualifications. Responsibilities Reviews referring physician and patient documentation for medical necessity against insurance protocol requirements for pre‑certification purposes. Actively communicates with staff regarding status of authorization; communicates the need for reschedule and/or cancellation if authorization not in hand. Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as ongoing education of changes in authorization requirements. Responsible for scheduling STAT, emergent patients for outpatient diagnostic exams. Interacts with patients, their representatives, physicians, physician office staff, and others to gather and ensure accuracy of demographic, billing and clinical information. Produces and distributes required forms with accurate patient information. Respects and protects the patient’s rights to confidentiality and privacy and discloses information only for professional purposes which are in the patient’s best interests with full consideration of their legal rights. Displays a positive attitude when interacting with provider’s office staff, providers and fellow employees. Performs additional duties as assigned. Qualifications High school graduate required . Advanced education preferred . At least 2 years of prior experience in a healthcare setting handling benefit verification and prior authorizations required . Billing and coding or other related certifications a plus. Strong computer skills and excellent typing skills. Immaculate attention to detail and excellent proofreading skills. Excellent customer service skills. Strong data entry skills. Excellent organizational skills. Benefits Health insurance (medical, dental, vision) Retirement plan Paid time off (PTO) (vacation, sick) #J-18808-Ljbffr Vein Clinics of America, Inc.

Vacancy posted more than 2 months ago

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