Insurance Verification Specialist
TEKsystems•Evesham Township, NJ
•$21 - $21•Onsite
About The Position
A Prior Authorization Specialist plays a critical role in managing patient care and insurance coverage. They verify insurance coverage, process prior authorization requests, and evaluate individual requests for coverage authorizations. Specialists also interact with providers and health plans regarding utilization management and referral authorization inquiries. This role will also have a bit of financial counselor responsibilities.
Requirements
- 2 years of prior authorization experience
- Experience with authorizations for specialty medication/perscriptions
- Microsoft Office proficient
Responsibilities
- Verify medical insurance coverage for patients.
- Process prior authorization requests with accurate data entry.
- Evaluate requests for coverage authorizations based on medical necessity.
- Handle telephone calls and interact with providers and health plans.
- Set up arrangements or monthly installment plans for patients to pay off balances within hospital guidelines.
- Follow up on missed payments within three days.
- Discuss outstanding balances with patients seeking future services.
- Make collection calls on self-pay and private pay accounts starting at 60 days without payment.
- Maintain knowledge of programs offered by the provider.
Benefits
- Medical, dental & vision
- Critical Illness, Accident, and Hospital
- 401(k) Retirement Plan – Pre-tax and Roth post-tax contributions available
- Life Insurance (Voluntary Life & AD&D for the employee and dependents)
- Short and long-term disability
- Health Spending Account (HSA)
- Transportation benefits
- Employee Assistance Program
- Time Off/Leave (PTO, Vacation or Sick Leave)
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
