Authorization & Insurance Verification Specialist - Requisition #592874

Infor; Marshall (MI); On-site; USD 40,000 - 60,000; Full time

Job summary

A healthcare organization is seeking an Authorization & Insurance Verification Specialist to provide accurate and timely insurance verification for services. The ideal candidate should have at least two years of experience in healthcare insurance verification and possess strong organizational and communication skills. The role involves working within an office environment and requires a detailed understanding of medical terminology.

Qualifications

• 18 years of age.
• Two years experience related to healthcare insurance verification and/or billing.
• Ability to problem solve and handle conflict.

Responsibilities

• Provides accurate and timely insurance verification for services.
• Obtains benefit and pre-authorization information.
• Calculates estimated point of service amounts.

Skills

Knowledge of clinical and medical terminology

Strong verbal communication

Organizational skills

Customer service skills

Critical thinking skills

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