Job Description

Job Title: Insurance Verification and Authorization Representative

Location: Remote
Employment Type: Full-Time/Contract
Pay: $18-20/hr.

Job 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.

Key Responsibilities:

Insurance Verification:

• Verify patient insurance coverage and benefits for both primary and secondary policies.
• Communicate with insurance companies to obtain accurate and up-to-date information regarding patient coverage.
• Confirm eligibility for specific services, procedures, or treatments with the insurance provider.
• Address discrepancies or issues with insurance coverage and work with the billing team to resolve them.

Authorization Management:

• Obtain prior authorizations from insurance companies for medical services, procedures, or treatments as required.
• Ensure timely submission of pre-authorizations and follow up with insurance companies when necessary.
• Maintain accurate records of authorization statuses and track pending requests.
• Documentation & Compliance:
• Maintain accurate and detailed records of all verification and authorization activities in the system.
• Ensure compliance with insurance policies, regulatory standards, and internal protocols.

Stay updated on changes in insurance policies and procedures to ensure accurate and efficient handling of verification and authorization processes.

• High school diploma or equivalent required
• Previous experience in insurance verification, medical billing, or authorization processes preferred.
• Knowledge of healthcare insurance plans, coding, and medical terminology is a plus.
• Strong communication and interpersonal skills to interact with patients, insurance providers, and healthcare teams.
• Ability to handle confidential and sensitive information in accordance with HIPAA guidelines.
• Strong attention to detail and ability to manage multiple tasks simultaneously.
• Proficiency in using EPIC preferred

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