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Insurance Verification Auth Specialist
5 days agoWhat's your preference?
Job Description
- Req#: JR63149
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $33.05 USD
- Comprehensive benefits package including medical, dental, and retirement benefits
- Opportunities for career advancement and growth within the organization
- Work in a mission-driven environment dedicated to community health
- Flexibility with scheduling and a supportive workplace culture
- Live and work in the beautiful Pacific Northwest
What to Expect (Job Responsibilities):
- Secure pre-authorizations from insurance companies for complex healthcare services
- Respond to clinical inquiries through insurance portals to support timely authorization approvals
- Review medical records and documentation to ensure accurate submission for services
- Communicate effectively with healthcare providers, insurance carriers, and patients for authorization decisions
- Maintain operational efficiency by meeting established productivity standards
What is Required (Qualifications):
- Minimum two (2) years of experience with complex prior authorizations or insurance billing in a healthcare setting
- Customer service experience in a healthcare environment
- Proficiency in medical terminology, validated by examination
- Experience reviewing medical policies and interpreting CPT and HCPCS codes
- Completion of a health vocational program (e.g., Medical Assistant, Medical Billing & Insurance) preferred
How to Stand Out (Preferred Qualifications):
- One (1) year of post-secondary business or college coursework preferred
- Certification from the National Association of Healthcare Access Management (NAHAM) preferred
#HealthcareServices #InsuranceVerification #CareerOpportunity #CompetitivePay #PacificNorthwest
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