Ins Verification Speclst

Surgery Partners, IncLaguna Hills, CA

About The Position

Ensures all records are maintained in absolute integrity and in compliance with applicable regulations and requirements. Responsible for obtaining required referrals and authorizations and verifying patient insurance benefits.

Requirements

  • 1-2 years experience in healthcare insurance billing, verification, collections and/or authorizations.
  • Knowledge of computer systems, programs and spreadsheet applications.
  • Knowledge of medical terminology.

Nice To Haves

  • Ability to work effectively with customers, medical staff and external agencies.
  • Skilled in written and verbal communication and customer relations.

Responsibilities

  • Obtaining required referrals and authorizations
  • Verifying patient insurance benefits
  • Identifying, analyzing and solving claim problems
  • Gathering and reporting claim information
  • Solving utilization problems
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