Insurance Verification Specialist III: Oncology
Hoag•Newport Beach, CA
1d
About The Position
The Insurance Verification Specialist verifies insurance and benefit coverage for services in assigned department(s). This role works directly with patients, insurance companies, and clinical departments to verify insurance coverage, obtain proper authorizations, and ensure timely reimbursement of services. He/she reviews physician orders for medical necessity and accuracy and provides clinical documentation to support proper authorization.
Requirements
- Prior authorization experience required for this position.
Responsibilities
- Accurately and timely codes insurance in the billing system.
- Provides patient education of service of benefits, status of pending or denied authorizations, and gets assistance in resolving.
- Determines copayment and deductible amounts, maintains charge entry, and reconciles daily charges.
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What This Job Offers
Job Type
Full-time
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
