What are the responsibilities and job description for the Health insurance verification, and authorization position at Foad Elahi MD?
Job Overview
Join our dynamic healthcare team as a Health Insurance Verification and Authorization Specialist In this vital role, you will be the frontline of ensuring patients receive timely and accurate insurance coverage for their medical services. Your energetic approach will help streamline the verification process, secure necessary authorizations, and facilitate smooth communication between providers, insurance companies, and patients. This position offers an exciting opportunity to make a meaningful impact on patient care while working in a fast-paced, collaborative environment. Your expertise in managed care, medical terminology, and insurance procedures will drive efficiency and excellence in our healthcare operations.
Duties
- Verify patient insurance coverage by reviewing policies, benefits, and eligibility details using various managed care systems
- Obtain prior authorization from insurance providers for scheduled procedures, treatments, or diagnostic tests to ensure coverage approval before services are rendered
- Communicate proactively with insurance companies to clarify coverage details, resolve discrepancies, and expedite approval processes
- Maintain accurate and detailed medical records related to insurance verification and authorization activities in compliance with HIPAA regulations
- Collaborate with medical office staff to gather necessary documentation such as CPT (Current Procedural Terminology) codes, ICD-9/ICD-10 (International Classification of Diseases) codes, and other medical coding information
- Follow up regularly on pending authorizations to prevent delays in patient care or billing issues
- Stay updated on changes in managed care policies, insurance regulations, and coding standards to ensure compliance and accuracy
Skills
- Strong knowledge of managed care systems, medical office procedures, and insurance verification processes
- Proficiency in medical terminology, medical records management, and medical coding including CPT, ICD-9/ICD-10 codes
- Familiarity with HIPAA guidelines to protect patient privacy during all verification activities
- Experience with office software applications used in healthcare settings for documentation and communication
- Excellent communication skills to liaise effectively with insurance representatives, healthcare providers, and patients
- Ability to multitask efficiently in a busy environment while maintaining attention to detail
- Prior dental or medical office experience is a plus; familiarity with medical billing is advantageous
Join us in delivering exceptional healthcare support through your expertise in insurance verification and authorization Your proactive approach will help ensure seamless patient experiences while maintaining compliance with industry standards. We are committed to fostering a positive work environment where your skills can thrive
Job Type: Full-time
Pay: $ $30.00 per hour
Benefits:
- Flexible schedule
- Retirement plan
Work Location: In person
Salary : $30