What are the responsibilities and job description for the Insurance Verification -Authorization Specialist position at St. Francisville Rehab Services?
Job Summary
St. Francisville Rehab is seeking a reliable and detail-oriented Insurance Verification Specialist to join our growing adult and pediatric therapy clinics in St Francisville, LA. In this role, you will be responsible for
Communicate effectively by phone and insurance website portals with a variety of insurance carriers, including Medicare, Medicare HMOs, Medicaid and private /commercial carriers, to acquire patients' insurance verification / prior authorization for physical, occupational, and speech therapy services.
The ideal candidate is organized, dedicated, and has strong communication skills. Previous experience in insurance verification/authorization within medical office settings is required.
This is an excellent for someone looking to advance their career in healthcare insurance administration, with potential for growth and advancement within our practice.
Join our team and grow your career in a supportive and professional environment!
Key Qualities:
- Prior Experience in Health Care Insurance Verification /Authorization with Strong attention to detail
- Excellent communication and organizational skills.
- Dependable and team-oriented attitude
Responsibilities:
- Verifying eligibility and benefits by phone and online
- Obtaining referrals and prior authorizations
- Answering phones
- Scheduling appointments
Required Experience:
- Insurance Verification / Prior Authorization (Medicare, Medicare HMO plans, Medicaid, Commercial BCBS / TriCare/VA Benefits)
Responsibilities
- Greet patients and families warmly, providing excellent customer service and guiding them through check-in procedures.
- Answer telephones and assist patients and their families with questions.
- Schedule and Manage Patient Appointments within our Electronic Medical Records Software System.
- Communicate proficiently with other Staff Members, Patients, Therapists, Physicians, and Insurance Companies.
- Perform and Assist with all General Front Office and Administrative Duties.
- Maintain a Welcoming, Organized, and Efficient Front Desk
- Willingness to take on additional responsibilities as the Candidate's Skills and Knowledge develop and expand.
- Verify insurance coverage, perform insurance prior authorization requests, and ensure all necessary documentation is complete for physical, occupational, and speech therapy visits.
- Maintain strict adherence to HIPAA (Health Insurance Portability and Accountability Act) regulations to safeguard patient confidentiality and clinical records.
- Prepare and process medical records requests, ensuring compliance with clinical confidentiality policies and proper documentation standards.
- Utilize Microsoft Office tools for data entry, report generation, and communication with team members.
- Excellent customer service skills with the ability to communicate clearly and empathetically with diverse patient populations.
- Understanding of clinical confidentiality policies such as HIPAA to ensure patient privacy at all times.
- Ability to multitask effectively in a fast-paced environment while maintaining attention to detail.
- Knowledge of Microsoft Office applications for documentation and communication purposes.
Qualifications:
Previous Experience and Insurance Scheduling, Prior Authorization, and Medical Record Management is Required
Dependable and Reliable
Hardworking and Motivated
Professional and Friendly Communication Skills
Comfortable Working with Children and Their Families
Detail Oriented and Takes Initiative
Able to Work Independently and as Part of a Team
Previous Medical Office or Healthcare Experience is Required
Must Be Proficient with Basic Computer Skills/Software
Pay: $15.00 - $25.00 per hour
Expected hours: 34.0 – 40.0 per week
Benefits:
- Disability insurance
- Paid time off
- Retirement plan
Experience:
- Insurance Prior Authorization / Verification: 1 year (Required)
Work Location: In person
Salary : $15 - $25