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Insurance Verification Auth Specialist
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Job Description
- Req#: JR65831
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 a leading health system
- Employee-centric environment recognized as one of "America's Best Employers by State"
- Work in a mission-driven organization dedicated to community health and well-being
- Flexible schedules promoting a healthy work-life balance
What to Expect (Job Responsibilities):
- Secure pre-authorizations for complex, high-dollar healthcare services including inpatient and outpatient surgical procedures
- Respond to clinical inquiries through insurance portals for timely authorization approvals
- Review medical records and documentation for accurate submission of authorization requests
- Evaluate and process medical authorization requests to facilitate uninterrupted patient care
- Communicate effectively with healthcare providers, insurance carriers, and patients regarding authorization decisions
What is Required (Qualifications):
- Minimum two (2) years of experience with complex, high-dollar prior authorizations or insurance billing in a healthcare setting
- Customer service experience in healthcare
- Proficiency in medical terminology, validated by examination
- Experience interpreting CPT and HCPCS codes in alignment with payer guidelines
- 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 #EmployeeCentric
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