Job Summary:

Duties/Responsibilities:

• Verifying patient insurance eligibility with insurance companies for the purposes of securing initial and continuing authorizations.

• Responsible for obtaining required paperwork necessary to meet each insurance company’s requirements and verifying the accuracy of the paperwork before and after submission.

• Will work closely with internal departments and multiple branches to guarantee prompt and accurate information is given to insurance providers and patients while ensuring we are compliant with all HIPAA mandated policies.
• Interacts with insurance carriers and physicians to obtain authorizations and pre-certifications for treatment.

• Documents communications and authorization details for future reference needed for billing, patient health records, or other business needs.

• Maintains general understanding of all necessary forms and requirements for each assigned insurance provider.

• Highly motivated to complete assigned tasks as quickly and accurately as possible with little direct supervision.

• Make requests for peer-to-peer reviews in a timely manner so the request is not denied.

• Refers questions or issues outside of scope of expertise to the Billing and Insurance Manager or VP of Operations

• Shares responsibility for the department responsibilities such as answering department phone calls and checking department voicemail daily

• Performs miscellaneous job-related duties as assigned.