Insurance Verification and Authorization Specialist (55306)

HEALTH SOLUTIONS•Pueblo, CO

6d•$18 - $21•Onsite

About The Position

Health Solutions is a premier wellness center focused on whole person care. With over 400 employees in Southern Colorado, you would be joining a mighty team of support and administrative staff, clinicians, physicians, nurses, and others in our efforts to improve the health and wellbeing of our community. We’re hiring for a full-time Insurance Verification and Authorization Specialist to join our Revenue Cycle department at 41 Montebello Rd. What You’ll Be Doing You’ll be responsible for verifying patient insurance coverage, obtaining prior authorizations, and ensuring all necessary approvals are in place before services are rendered. You’ll work closely with providers, insurance companies, and patients to streamline the authorization process and support timely, accurate billing.

Requirements

High school diploma or equivalent required
At least 3 years of relevant medical office experience and basic understanding of billing processes
Practical knowledge of payer specific rules and regulations, including Medicaid and Medicare
Excellent interpersonal and customer service skills
Demonstrated experience to include counseling, analysis, collaborative teamwork, professional communications and interactions, advocacy, financial management, and customer service.
Willingness to work collaboratively with multiple teams and tasks
Proficient in Windows-based computer programs and electronic charts, as well as basic office equipment
Ability to multi-task and prioritize in a fast-paced setting
Well-organized, self-motivated, and proficient time management
Strong communication skills both verbally and in writing

Nice To Haves

Experience working in NextGen and MyAvatar electronic health record systems
CAAS Certification
Spanish language skills

Responsibilities

Report to the Director of Revenue Cycle Management.
Assist clients with their insurance options, coverage, and directing them to alternative resources in the community that are available to assist them, and reporting functions.
Verifying eligibility, ensuring all insurances are active and insurance information is correct for health benefits and updating the chart with correct copay information prior to scheduling clients.
Requesting authorizations when required by payers.
Assist clients with completing applications for Medicaid, other insurance benefits and/or outside assistance or other community services.
Ensure all appropriate forms are completed timely and accurately.
Assist clients with sliding fee scale application.
Provide financial counseling services to clients prior to treatment or when referred by other departments.
Discuss patient financial obligations, billing practices, assess financial hardship and establish payment arrangements.
Ensure that all relevant client information is recorded in the electronic health record to support proper billing of client balances.
Monitor overdue accounts and proactively collect outstanding balances.
Review Self-Pay accounts for collection agency submission.
Provide exemplary customer service demonstrating patience and understanding while carrying out the Company’s payment policies.
Maintain strict confidentiality of sensitive and protected information in accordance with HIPAA regulations.
Document financial counseling process and outcome and forward applicable information to the appropriate personnel and departments.
Other duties as assigned.