Authorization & Insurance Verification Specialist

Infor; Marshall (MI); On-site; USD 38,000 - 52,000; Full time

Job summary

Infor in Marshall, MI is seeking an Authorization & Insurance Verification Specialist to ensure accurate verification of eligibility and benefits for various services. The role requires reviewing patient benefits, obtaining pre-authorizations when needed, and maintaining precise data entry to support billing and patient access in a fast-paced office environment.

Strong communication skills and attention to detail are essential as you interact with patients, providers, and insurers to resolve

Qualifications

• 18 years of age and two years’ healthcare insurance verification and/or billing experience.
• Knowledge of clinical and medical terminology; 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.

Responsibilities

• Provides accurate and timely insurance verification for ancillary, surgical, inpatient, and observation services.
• Obtains benefit and any required pre-authorization and/or notification information for all services verified.
• Follows appropriate point of service collection and notification processes.
• Verifies insurance for multiple departments as assigned and obtain the authorization if needed.
• Demonstrates accuracy in gathering information and inputting data in all phases of insurance verification and the updating process.
• Calculates estimated point of service amounts

Skills

Insurance verification

Billing familiarity

Medical terminology

Data entry

Communication skills

Job description

Authorization & Insurance Verification Specialist

Job Summary: Provides accurate and timely insurance verification of eligibility and benefits.

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 for ancillary, surgical, inpatient, and observation services.
• Obtains benefit and any required pre-authorization and/or notification information for all services verified.
• Follows appropriate point of service collection and notification processes.
• Verifies insurance for multiple departments as assigned and obtain the authorization if needed.
• Demonstrates accuracy in gathering information and inputting data in all phases of insurance verification and the updating process.
• Calculates estimated point of service amounts

Minimum Qualifications

18 years of age. Two (2) years’ experience related to healthcare insurance verification and/or billing.

Knowledge, Skills & Abilities

Knowledge of clinical and medical terminology; 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.

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