Insurance Verifier/Collector
About The Position
INSURANCE VERIFICATION & AUTHORIZATION Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service. Obtain and validate prior authorizations and referrals in compliance with payer requirements. Identify and resolve coverage discrepancies prior to surgery to prevent denials. Communicate estimated patient financial responsibility clearly and professionally. Accurately document all verification and authorization details in the practice management system. ACCOUNTS RECEIVABLE & INSURANCE FOLLOW-UP Manage assigned A/R buckets and maintain productivity standards. Follow up on unpaid, rejected, or denied claims in a timely manner. Submit appeals with appropriate documentation to resolve denials and underpayments. Review EOBs for accuracy and identify payment variances. Monitor timely filing limits and prioritize high-dollar accounts. Identify denial trends and escalate systemic payer issues to leadership.
Requirements
- Must have 3 years or more of relevant experience to apply.
- Candidates without the required experience will not be considered.
Responsibilities
- Verify patient eligibility, benefits, coverage limitations, deductibles, co-insurance, and out-of-pocket responsibilities prior to date of service.
- Obtain and validate prior authorizations and referrals in compliance with payer requirements.
- Identify and resolve coverage discrepancies prior to surgery to prevent denials.
- Communicate estimated patient financial responsibility clearly and professionally.
- Accurately document all verification and authorization details in the practice management system.
- Manage assigned A/R buckets and maintain productivity standards.
- Follow up on unpaid, rejected, or denied claims in a timely manner.
- Submit appeals with appropriate documentation to resolve denials and underpayments.
- Review EOBs for accuracy and identify payment variances.
- Monitor timely filing limits and prioritize high-dollar accounts.
- Identify denial trends and escalate systemic payer issues to leadership.
Benefits
- Comprehensive health, dental, and vision insurance
- Health Savings Account with an employer contribution
- Life Insurance
- PTO
- 401(k) retirement plan with a company match
- And more!
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
