Insurance Billing Professional

To provide the care patients need, in the neighborhoods they live, by teams they trust. Our growing number of amazing partners includes Allegheny Health Network, Ascension, Baptist Health System, Baylor Scott & White Health, ChristianaCare, Dignity Health St. We are committed to fostering a work environment focused on teamwork that celebrates diversity, promotes equity and ensures equal access to information, development and opportunity for all of our Healthcare Pros.

The purpose of this position is to obtain the necessary insurance authorizations for health services provided by the company.

Reviews admissions for accuracy of insurance, coordination of benefits, and status

Obtains clinicals, diagnosis information and ICD10 codes as necessary for completing the insurance authorization process

Ensures insurance carrier documentation requirements are met and authorization documentation is scanned and documented in the patient’s record.

Works closely with Patient Access and the Billing Department on account updates and authorization activity.

Maintains a good working knowledge of authorization requirements for all payors and state/federal regulatory guidelines for coverage and authorization of services provided.

High School Diploma or GED required

Two years insurance verification and/or authorization experience required

Expert knowledge of various payers and payer insurance cards required

Knowledge of Microsoft Office Tools (Microsoft Word, Excel and Outlook), required

Position requires fluency in English; written and oral communication

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