Insurance Verification/Prior Authorization Representative

Insurance Verification/Prior Authorization Representative

We are seeking a detail-oriented and organized Insurance Verification/Prior Authorization Representative to join our administrative team. In this role, you will be responsible for verifying insurance coverage, obtaining prior authorizations, and ensuring that necessary approvals are in place for various medical treatments and services. You will work closely with insurance companies, healthcare providers, and patients to facilitate a smooth billing and authorization process, ensuring that patients receive the care they need without unnecessary delays.

Insurance Verification:

Verify insurance coverage for new and existing patients.

Confirm the details of the patient's insurance plan, including co-pays, deductibles, and out-of-pocket expenses.

Communicate with insurance carriers to resolve any discrepancies in coverage or information.

Prior Authorization:

Obtain prior authorizations for medical procedures, treatments, diagnostic tests, and medications as required by insurance companies.

Review and ensure that the required documentation is provided for approval.

Submit necessary paperwork to insurance companies and follow up as needed to secure approvals.

Qualifications:

Education: High school diploma or equivalent required.

Experience:

Minimum of 1-2 years of experience in insurance verification, prior authorization, or a related healthcare administrative role.

Experience with pain management or medical specialties is preferred.

Remarks:

Dress Code: Black scrubs.

Work Hours: 8:00 AM - 5:00 PM (Monday-Thursday), 8:00 AM - 1:00 PM (Friday).

Salary 19.00 - 22.00/hr

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