Authorization

American Endovascular and Amputation Prevention

Glen Rock (NJ)

On-site

USD 43,000 - 56,000

Full time

2 days ago
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Benefits offered by this job

401(k)
Disability insurance
Flexible spending account
Health insurance
Life insurance
Paid time off
Vision insurance

Job summary

American Endovascular is seeking a full-time Medical Insurance Authorization Specialist in Glen Rock, PA. The role focuses on verifying patient insurance eligibility and obtaining authorizations, collaborating with staff and physicians to support timely approvals.

Responsibilities include collecting eligibility data, coordinating precertification with insurance portals, ensuring HIPAA compliance, and communicating coverages to billing and patients.

Qualifications

  • HS Diploma required.
  • Excellent organizational skills required.
  • Ability to multi-task and manage competing priorities.
  • Customer service experience preferred.

Responsibilities

  • Complete eligibility, benefit and pre-certification/authorization information and communicate with staff and physicians.
  • Adhere to HIPAA guidelines to protect PHI.
  • Explain insurance coverages and precertification requirements to applicable parties.
  • Provide appropriate forms to billing and other departments.
  • Verify that insurance benefits meet organizational standards and are assigned.
  • Correspond with patients to obtain required authorizations and assignments of benefits.
  • Coordinate precertification requirements with third-party vendors as needed.

Skills

Excellent organizational skills
Ability to multi-task
Customer service experience

Education

HS Diploma

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Authorization

Full Time Glen Rock, PA, US

3 days ago Requisition ID: 1069

American Endovascular is seeking full time Medical Insurance Authorization Specialist. The person in this role will be responsible for verifying eligibility of patients insurance and obtaining authorizations as well as communicating with staff/physicians on status, needs, etc.

Responsibilities:

  • Complete detailed eligibility, benefit and pre-certification/ authorization information to ensure accurate claims and working directly with multiple insurance websites to obtain benefits and authorizations for procedures performed in both an office setting as well as ASC.
  • Adheres 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).
  • Explains insurance coverages and requirements for precertification/preauthorization, as applicable.
  • Provides appropriate forms to billing and other departments.
  • Verifies insurance benefits assigned to the organization to determine if insurance coverage meets appropriate standards.
  • Corresponds with patients to acquire required authorizations and assignments of benefits.
  • Works with appropriate sources to coordinate precertification requirements with contractual third parties.

Requirements:

  • HS Diploma
  • Excellent organizational skills
  • Ability to multi-task
  • Customer Service experience
  • 401(k)
  • Disability insurance
  • Flexible spending account
  • Health insurance
  • Life insurance
  • Paid time off
  • Vision insurance

Schedule:

  • 8 hour shift
  • Day shift
  • Monday to Friday

Ability to commute/relocate:

  • Glen Rock, PA 17327: Reliably commute or planning to relocate before starting work (Required)
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