This role focuses on verifying insurance eligibility, managing prior authorizations, coordinating benefits, and ensuring accurate billing and documentation. It requires strong communication skills, attention to detail, and collaboration with patients, physician offices, and insurance companies. Key Highlights Core Functions: Insurance verification, prior authorization management, billing, claim resolution, and documentation. Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor’s degree can substitute. Preferred Backgrounds: Managed Care, Pharmacy, Medical Terminology, Physician Office, Customer Service, Call Center. Technical Skills: Proficiency in Microsoft Office; familiarity with HIPAA compliance and healthcare documentation. Top 3 Must‑Have Skills: Managed Care, Customer Service, Call Center. Typical Day in the Role Insurance verification for medication and prior authorization appeals. Communicate with patients, doctors’ offices, and insurance plans. Manage inbound internal queue (25+ referrals/day). Maintain 95% quality or higher; attendance is crucial. Candidate Fit Ideal candidates will have direct experience verifying benefits and submitting prior authorizations. They should demonstrate professionalism, accuracy, and the ability to manage high‑volume tasks while maintaining compliance and patient focus.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
501-1,000 employees