INSURANCE AUTHORIZATION SPECIALIST - FT

HOSPITAL FOR SPECIAL SURGERY • Oklahoma City, OK

7d

About The Position

Overall Responsibility: Responsible for ensuring all patient insurance eligibility benefits/authorizations are verified prior to patient admission. Responsible for providing accurate and complete data input for precertification requests.

Requirements

• Must have a minimum of 3 years of experience in verifying insurance eligibility and acquiring authorizations from insurance providers, medical experience preferred.
• High school graduate or GED required.

Nice To Haves

• medical experience preferred

Responsibilities

• Contacts primary insurance to verify coverage, acquire authorization numbers and prepare patient cost estimate.
• The verification and estimating process will be completed within 48 hours of scheduling and in all instances prior to surgery.
• Must have thorough understanding of managed care concepts including HMO, PPO and POS.
• Meets with patients pre-operatively so they understand the billing process and their financial expectations, informing patient of deductibles and co-pays and providing payments arrangements for past due balances.
• Processes all benefit information and verifies all patient insurance data is valid for further collections, noting in and out of network benefits.
• Obtains facility authorizations for OneCore Health.
• Maintains confidentiality of all agency and patient related information.
• Protects patient rights as defined in the Patient Bill of Rights.
• Collects pre-payment from the patient when necessary.
• Records and processes payments according to departmental guidelines.
• Attends and participates in staff meetings, required in-services and other meetings as requested.
• Performs other duties or functions as assigned by Manager.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 1-10 employees