Our healthcare facility is currently seeking an Insurance Eligibility, Verification and Authorization Specialist (EVA). In this role, you will verify insurance coverage for new patient visits and ensure referrals are obtained per insurance plan requirements. This may include verification of insurance coverage for existing visits. In the absence of a referral, you will contact the PCP and/or the patient to secure a referral at least two weeks prior to the scheduled service. Once benefits are obtained you will contact patients to provide an estimate of their financial responsibility and initiate collection efforts. In addition, your duties will include obtaining pre-authorization and/or predetermination for upcoming services via phone call, web portal, or fax. Strong phone communication skills and multi-tasking is essential. Applicants should have experience with the insurance verification and authorization process. Bilingual communication skills are a plus.

Duties and Responsibilities

· Verify insurance information for upcoming and existing patients visits

· Obtain patient benefits

· Secure referrals as required by insurance plans

· Obtain pre-authorization for recommended services and procedures

· Explain to patients what their financial responsibilities will be and initiate collection of that amount.

· Fulfill Authorization Tracker’s incoming requests

Insurance Verification Specialist Requirements and Qualifications

· High school diploma or GED certificate

· Medical billing experience (2 years preferred)

· Knowledge of CPT codes and basic medical terminology (preferred)

· Phone communication skills

· Bilingual ability (English/Spanish) a plus

· Familiarity with payer websites

Job Type: Full-time

Pay: $15.00 - $19.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Employee assistance program
• Flexible spending account
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Weekly day range:

• Monday to Friday

Application Question(s):

• Salary Requirement
• If you have any relatives working for HMU, please provide name, relationship, and work location. If you don't have any relatives working for HMU, please Reply with not applicable.

Education:

• High school or equivalent (Required)

Experience:

• Insurance verification: 2 years (Preferred)
• Medical billing: 2 years (Preferred)

Work Location: In person