Insurance Verification/Authorization Specialist
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About The Position
The Insurance Verification/Authorization Specialist plays a crucial role in ensuring that patients receive the necessary authorizations and verifications for their medical services. This position involves obtaining patient eligibility and benefits for physical therapy visits through various channels, including phone calls and online portals. The specialist is responsible for completing verifications within a specified timeframe to enhance customer satisfaction, confirming eligible appointments, and maintaining accurate patient information for successful claims submission. This role requires a keen attention to detail and the ability to communicate effectively with both patients and healthcare providers. In addition to verifying eligibility for physical therapy, the specialist also handles verifications, eligibility checks, and precertifications for ancillary services. This includes collaborating with clinicians and insurance companies to pre-certify surgical services and procedures, ensuring that all necessary medical records are delivered promptly to expedite the authorization process. The specialist must display exceptional customer service skills, particularly in high-pressure situations, and provide patients with clear estimates regarding their financial responsibilities. The position requires flexibility to work various shifts between 6:30 am and 7 pm, including front desk coverage as needed. The specialist will manage a heavy volume of phone calls, scheduling new referrals, following up on authorization statuses, and addressing patient inquiries. Additionally, the role involves assisting with training new employees, complying with HIPAA and OSHA regulations, and participating in team meetings as required. Overall, the Insurance Verification/Authorization Specialist is integral to the operational efficiency of the clinic, ensuring that all insurance-related processes are handled smoothly and effectively.
