Insurance Verification & Authorization Agent

6b893033-04f2-4041-b6d0-994d05271ce6•Bridgeport, CT

41d•$21 - $24•Onsite

About The Position

The Insurance Verification & Authorization Agent is a member of the behavioral health care team and works with providers, nurses, and clinical support staff to ensure a complete and timely insurance and authorization process. The agent performs pre-visit work by verifying patient demographic and insurance information to support prompt payment for services. The role contacts insurance companies to verify coverage and helps patients understand their benefits. It also ensures patients have authorization for specialty services and office visits, may act as a liaison among patients, providers, referring providers, behavioral health providers, and others involved in the plan of care, and appropriately links referrals for identified visits. The position is based at Optimus Health Care’s Bridgeport, Connecticut location and may require flexibility to work at other Optimus sites.

Requirements

High school diploma or GED.
Five years of experience preferred, preferably in a health care setting.
Great computer skills.
Commitment to maintaining patient privacy.
Flexibility to work at other Optimus Health Care sites as necessary.

Nice To Haves

Associate degree preferred.
Familiarity with EMR.
Bilingual skills helpful.
Five years of experience, preferably in a health care setting.

Responsibilities

Review appointment schedules to identify insurance requiring verification, including particular insurance plans.
Verify insurance coverage, copays, deductibles, amounts met to date, and pre-authorization requirements through employers, insurance carriers, or online verification.
Verify coordination of benefits using the birthday rule when the patient is a minor.
Update patient notes in the system with pertinent insurance changes or concerns so account history is available to relevant departments.
Work with and assist the Practice Manager on related special projects, including billing participation in performance improvement initiatives.
Refer patients who qualify for entitlement to FCC by task.
Communicate with patients about insurance coverage concerns and additional information required by the carrier to process payment.
Ensure patients have authorization for specialty services and office visits.
Appropriately link referrals for identified visits and, as needed, act as a liaison among patients, providers, and other parties involved in the plan of care.
Perform other related duties as required.