Insurance Verification Specialist

Company: Cochise Oncology
Location: Sierra Vista
Posted on: November 17, 2021

Job Description:

The Insurance Specialist is responsible for the verification of insurance, and obtaining authorization prior to services being rendered. This position is responsible for working collaboratively with other team members throughout the clinic to assure timely and accurate delivery of patient care.Insurance Specialist Duties

• Processes all insurance claims for the assigned department
• Confirm pre-authorization requirements, submit available medical documentation and document authorization approvals or denials.
• Analyze and resolve physician claim rejects and denials.
• Identifies problems in billing process and presents viable solutions.
• Validate and obtain referrals, pre-certification and/or prior-authorizations for scheduled appointments and procedures.
• Reviews clinical records for completeness including authorization, signatures, missing data and other patient information.
• Timely follow-up on claims and appeal payments/denials when required.Qualifications
  • The ability to multi-task and keep up with fast paced environment
  • A high school diploma or GED is required
  • Medical terminology helpful
  • Prior insurance and authorization experience is a plus
  • Highly dependable with strong attention to detail
  • Possession of strong organizational skills.
  • Excellent verbal and written communication, as well as exceptional interpersonal communication skills.
  • Ability to work independently on assigned tasks, as well as to accept direction on given assignments.'Job Type: Full-timePay: $13.00 - $15.00 per hourBenefits:
    • Dental insurance
    • Health insurance
    • Life insurance
    • Paid time off
    • Vision insuranceSchedule:
      • Monday to FridayEducation:
        • High school or equivalent (Preferred)Experience:
          • Insurance verification: 1 year (Preferred)
          • Medical billing: 1 year (Preferred)Work Location: One location

Keywords: Cochise Oncology, Sierra Vista , Insurance Verification Specialist, Other , Sierra Vista, Arizona