Authorization and Insurance Verification Coding Specialist - Requisition #194064

Infor; Marshall (MI); On-site; USD 42,000 - 62,000; Full time

Job summary

Infor is seeking an Authorization and Insurance Verification Coding Specialist to provide accurate and timely verification of eligibility and authorization for a range of services. The role audits clinical documentation to validate coding accuracy before and after service.

The position requires knowledge of ICD-10 and CPT coding, strong communication skills, and the ability to work independently within a healthcare administration setting. Office-based environment and standard equipment apply.

Qualifications

• Must be 18 years of age or older.
• CCA certification or equivalent.
• Experience in healthcare insurance verification, authorization and/or coding as determined by Oaklawn Administration.

Responsibilities

• Verifies insurance eligibility and authorization for ancillary, surgical, inpatient, and physician services.
• Follows point of service collection and notification processes.
• Inputs and gathers information accurately through all phases of verification and authorization.
• Communicates with physicians, offices and hospital staff to obtain documentation for correct coding validation.

Skills

ICD-10 coding

CPT coding

Communication

Interpersonal

Organizational

Customer service

Critical thinking

Computer skills

Education

CCA certification

Job description

Authorization and Insurance Verification Coding Specialist

Job Summary: Provides accurate and timely insurance verification of eligibility and authorization. Audits clinical documentation to validate coding accuracy pre and post service.

Essential Functions:

• Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.


• Provides accurate and timely insurance verification and authorization for ancillary, surgical, inpatient, and physician services.


• Follows appropriate point of service collection and notification processes.


• Demonstrates accuracy in gathering information and inputting data in all phases of insurance verification and the authorization process.


• Communicates with physicians, physician offices and hospital staff to obtain clarifying documentation for correct coding validation.

Minimum Qualifications: 18 years of age. CCA or equivalent certification. Relevant clinical or medical experience related to healthcare insurance verification, authorization and/or coding as determined by Oaklawn Administration.

Knowledge, Skills & Abilities: Knowledge of clinical and medical terminology, ICD-10 and CPT coding; computer skills. Strong verbal communication, interpersonal, organizational, customer service, and critical thinking skills. Ability to problem solve, handle conflict, and adapt to frequent change. Ability to interpret insurance records and related documentation. Ability to work independently, as well as to accept direction on given assignments.

Working Conditions: Work is generally performed within an office environment, with standard office equipment available.

Physical Requirements: Constantly sit, see/visual acuity, handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.