Insurance Verification Specialist

Insurance Verification Specialist Responsibilities & Duties:

• Verifying insurance for incoming referrals.
• Communicate prior authorization and referral requirements and requesting when necessary.
• Working with billing team on post-authorizations.
• Ability to request single case agreements when necessary.
• Create logins for authorizations and prior authorizations when necessary.
• Checking faxes and sending them out as necessary.
• Additional administration tasks as necessary.

Job Requirements: 

• Extensive knowledge of Medicare, Medicaid and Commercial Products.
• Extensive knowledge of HMO, PPO, EPO, copays, deductibles and OOPM.
• Proficient in EMRS and communication devices.
• Ability to self-manage and organize many moving parts.
• Strong communication and writing skills.
• Ability to coordinate and interact with all departments.
• In-office working environment.

Reports To: Business Office Director