Authorization & Insurance Verification Specialist - Requisition #366327

Infor; Marshall (MI); On-site; USD 45,000 - 55,000; Full time

Job summary

A healthcare provider is seeking an Authorization & Insurance Verification Specialist in Marshall, MI. The role involves providing accurate insurance verifications for various health services and requires two years of experience in healthcare insurance verification or billing. Ideal candidates will possess strong verbal communication, organizational, and customer service skills. Working conditions are primarily in an office environment. Join our team to help ensure patients receive proper healthcare coverage.

Qualifications

• At least 18 years of age required.
• Experience with healthcare insurance verification is required.
• Knowledge of clinical and medical terminology necessary.

Responsibilities

• Provides accurate insurance verification for various services.
• Obtains benefit pre-authorization for services as needed.
• Assures compliance with point of service collection processes.
• Gathers and inputs data with accuracy in verification.

Skills

Verbal communication

Interpersonal skills

Organizational skills

Customer service

Critical thinking

Education

Two years experience in healthcare insurance verification or billing

Job description

All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available.

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