Authorization

American Endovascular and Amputation Prevention•Glen Rock, PA

1d•Onsite

About The Position

American Endovascular is seeking a full-time Medical Insurance Authorization Specialist. This role is responsible for verifying patient insurance eligibility, obtaining necessary authorizations, and communicating status and needs with staff and physicians.

Requirements

High School Diploma
Excellent organizational skills
Ability to multi-task
Customer Service experience
Authorizations experience
1 year of medical authorizations experience

Responsibilities

Complete detailed eligibility, benefit, and pre-certification/authorization information to ensure accurate claims.
Work directly with multiple insurance websites to obtain benefits and authorizations for procedures performed in both an office setting and an Ambulatory Surgery Center (ASC).
Adhere to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).
Explain insurance coverages and requirements for precertification/preauthorization, as applicable.
Provide appropriate forms to billing and other departments.
Verify insurance benefits assigned to the organization to determine if insurance coverage meets appropriate standards.
Correspond with patients to acquire required authorizations and assignments of benefits.
Work with appropriate sources to coordinate precertification requirements with contractual third parties.