Authorization and Insurance Verification Coding Specialist - Requisition #194064

Infor; Marshall, Northern (MI, KY); On-site; USD 45,000 - 60,000; Full time

Job summary

Oaklawn Administration in Marshall, MI is seeking an Authorization and Insurance Verification Coding Specialist to ensure accurate eligibility verification and pre/post service coding audits. You will verify insurance benefits for ancillary, surgical, inpatient, and physician services and support accurate documentation.

The ideal candidate holds a CCA or equivalent certification and has knowledge of ICD-10 and CPT coding, strong communication, and the ability to work independently in a

Qualifications

• Experience with insurance verification and coding for healthcare services.
• Knowledge of ICD-10 and CPT coding and terminology.
• CCA or equivalent certification required.

Responsibilities

• Verifies insurance eligibility and authorizations for services.
• Audits documentation to validate coding accuracy pre/post service.
• Obtains clarifying documentation from physicians and offices.
• Enters data accurately in verification systems and records.
• Adheres to point-of-service collection and notification processes.

Skills

Verbal communication

Interpersonal skills

Organizational skills

Customer service

Critical thinking

Problem solving

Education

CCA or equivalent certification

Tools

ICD-10 coding

CPT coding

Computer skills

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.

Marshall, 200 N. Madison, Marshall, MI 49068