Authorization & Insurance Verification Specialist - Requisition #902805

Oaklawn Hospital; Marshall (MI); On-site; USD 40,000 - 55,000; Full time

Job summary

Infor is seeking an Authorization & Insurance Verification Specialist located in Marshall, MI. This role involves timely verification of insurance eligibility and benefits for various services while ensuring accuracy in data input and collecting necessary pre-authorizations.

The ideal candidate will have at least two years of experience in healthcare insurance verification and possess excellent communication, organizational, and problem-solving skills. Join Infor and make a difference in healthcare services through your expertise!

Qualifications

• 18 years of age required.
• Two years of experience in healthcare insurance verification or billing.

Responsibilities

• Provide accurate and timely insurance verification for various services.
• Obtain necessary pre-authorizations and notifications.
• Calibrate estimated point of service amounts.
• Demonstrate accuracy in information gathering and data input.

Skills

Knowledge of clinical and medical terminology

Strong verbal communication skills

Interpersonal skills

Organizational skills

Customer service skills

Critical thinking 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