Authorization & Insurance Verification Specialist - Requisition #751299

Infor; Marshall (MI); On-site; USD 42,000 - 60,000; Full time

Job summary

A healthcare provider in Marshall is looking for an Authorization & Insurance Verification Specialist. This role involves providing accurate insurance verification and ensuring timely access to healthcare services. Candidates must be at least 18 years old and have two years of experience in healthcare insurance verification. Strong skills in verbal communication, organization, and critical thinking are essential. This position offers a dynamic office environment where you will interact with multiple departments and assist in patient care coordination.

Qualifications

• 18 years of age.
• Two years of experience related to healthcare insurance verification or billing.
• Strong verbal communication, interpersonal, organizational, customer service, and critical thinking skills.
• Ability to interpret insurance records and related documentation.

Responsibilities

• Provide accurate and timely insurance verification for various services.
• Obtain required pre-authorization and notification information.
• Verifies insurance for multiple departments and obtains authorizations as needed.
• Demonstrate accuracy in gathering information and inputting data.
• Demonstrates accuracy in gathering information and inputting data.
• Calculates estimated point of service amounts.

Skills

Clinical and medical terminology

Computer skills

Verbal communication

Interpersonal skills

Organizational skills

Customer service skills

Critical thinking

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