Insurance Specialist

Job Description

Job Description

Insurance Authorization Specialist

At Lifeline Vascular Care, we provide the highest quality, most comprehensive and up-to-date care for our patients. Our employees are talented, passionate health care professionals who know how to provide excellent patient care and customer service. We look for people who have a strong work ethic with a positive outlook and team-work attitude with the skills to match.

We are seeking a qualified Insurance Authorization Specialist for immediate placement in our Vascular Access Center, located in Albany, GA.

The Insurance Authorization Specialist will verify patient insurance coverage, obtain pre-authorizations and Primary Care Provider referrals, schedule patient appointments, coordinate the patient intake process and provide administrative support to the center. This is a challenging, fast-pace job with Monday to Friday schedule, NO nights and weekend shifts. Access Center hours Monday – Friday, 7 am to 4 pm. Our employees enjoy a great work/life balance and a supportive team environment.

We offer competitive pay commensurate with experience and an excellent benefits package including the following:

Health, Dental and Vision Insurance

Basic Life and Disability Insurance

Whole Life, Group Accident and Hospital Indemnity

Flexible Spending Account or HSA available

401(k) with Employer match

Paid Holidays and a generous Paid Time Off Plan

Employment at Lifeline Vascular Care is contingent on successful completion of pre-employment screening and background check.

Responsibilities and Duties:

Verifies insurance eligibility, obtains PCP referrals and authorizations for each insurance the patient has in advance of every appointment and documents communication with insurance companies in the scheduling system.

Correctly selects appropriate insurance payors in the patient’s electronic chard and prioritizes accurately for billing. Works closely with the ROPS department on billing.

Verifies and enters accurate patient demographic information into the scheduling system.

Performs re-authorization and eligibility checks in a timely manner.

Communicates and documents information regarding change in authorization and eligibility. 

Monitors and ensures all client authorization of services are current and quantity and type of services provided meet payer requirements.

Reviews and ensures appropriate processing of authorizations.

Schedules appointments to maximize patient service and optimize patient schedule. Prioritizes incoming referrals and accommodates same day emergency add-on procedures. Provides appointment reminder calls in advance of appointments and track no-show or cancellations. Completes patient registration and check-in procedures.

Performs administrative support activities including answering and routing calls, correspondence, filing, faxing, mailing

Participates in community education activities and programs

Other duties as assigned.

Assist in scheduling patients for vascular access procedures

Participate in community education activities regarding the Access Center

Experience:

Insurance Authorization Specialists : 2 years (Preferred)

Lifeline provides equal employment opportunities (EEO) to all employees and applicants for employment regardless of race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Lifeline Vascular Care complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.

Please submit resume on our online application site.

Requirements:

High school Diploma Required

At minimum 2 years of previous experience in insurance verification and authorizations required

Must have knowledge of CPT, HCPCS, ICD-10 codes

Knowledge of third party payer regulations including Medicare, Medical, Veteran Affairs (VA) and private insurance.

Working knowledge with insurance verification, components to include: insurance portals, verification and collecting co-pays

Exceptional attention to detail, strong organizational skills and the ability to work independently with minimal supervision.

Demonstrates ability to make appropriate judgements as it relates to the payer authorization process.

Intermediate to advanced computer skills and proficiency in MS Word, Excel and Outlook

Ability to multi-task and manage time to complete various duties with busy in-coming phone lines and hold times with insurance companies

Provide exceptional customer service

Ability to deal with confidential information and issues involving discretion and judgement

Works with others in a cooperative and supportive manner

Displays patience and compassion in all customer interactions