Insurance Verification and Authorization Representative - Remote

Overview

We are seeking a detail-oriented and highly organized Insurance Verification and Authorization Representative to join our team. In this role, you will be responsible for verifying patient insurance coverage, obtaining pre-authorizations, and ensuring that all necessary information is provided to healthcare providers and insurance companies to facilitate timely and accurate billing. You will play a critical part in ensuring the smooth processing of insurance claims and patient care services.

In Short

• Verify patient insurance coverage and benefits for primary and secondary policies.
• Communicate with insurance companies for accurate patient coverage information.
• Confirm eligibility for specific services with insurance providers.
• Address discrepancies with insurance coverage and resolve with the billing team.
• Obtain prior authorizations for medical services as required.
• Ensure timely submission of pre-authorizations and follow up as necessary.
• Maintain accurate records of authorization statuses.
• Ensure compliance with insurance policies and regulatory standards.
• Stay updated on changes in insurance policies and procedures.
• Handle confidential information in accordance with HIPAA guidelines.

Requirements

• High school diploma or equivalent required.
• Previous experience in insurance verification or medical billing preferred.
• Knowledge of healthcare insurance plans and medical terminology is a plus.
• Strong communication and interpersonal skills.
• Attention to detail and ability to manage multiple tasks.
• Proficiency in using EPIC preferred.

Benefits

• Competitive hourly wage.
• Remote work flexibility.
• Opportunities for professional growth.
• Supportive team environment.
• Health and wellness benefits.