Insurance Authorization and Scheduling Specialist - Remote

Overview

The Insurance Authorization and Scheduling Specialist plays a critical role in ensuring patients have the necessary insurance coverage for the services provided. This position involves close interaction with patients and insurance companies to facilitate a seamless patient experience.

In Short

• Verify insurance coverage and obtain necessary referrals for patients.
• Update patient information and maintain accurate records in the system.
• Prepare and submit documentation required for billing.
• Conduct online benefits verification, pre-authorization, and eligibility checks.
• Maintain strong working knowledge of insurance benefits, exclusions, and co-insurance.
• Answer incoming calls and assist with patient intake and scheduling.
• Collect and accurately enter patient demographic and insurance information into the EMR system.
• Provide clear communication to patients regarding appointments and any requirements.
• Address patient inquiries and concerns related to accounts or scheduling.
• Maintain a high level of detail and organization in all tasks.

Requirements

• High school diploma or GED required.
• Previous experience in insurance pre/prior authorization (minimum 1 year).
• Familiarity with medical terminology and insurance portals.
• Clear and effective communication skills, both verbal and written.
• Strong attention to detail and organizational abilities.
• Must have an appropriate home office setup with reliable internet.
• Excellent attendance record in previous roles.

Benefits

• Health, dental, and vision insurance.
• Paid time off.
• 401(k) with company match.
• Additional benefits available.