Healthcare Insurance Verifier

SCA Health; Savannah (GA); On-site; USD 23,000 - 41,000; Full time

Job summary

SCA Health is seeking an Insurance Verifier/Authorization specialist in Savannah to support patient accounts. The role focuses on verifying patient insurance information, obtaining authorizations, and calculating expected payments.

You will apply knowledge of CPT codes, payer policies and CMS guidelines to ensure accurate billing and patient communication. As part of a high-volume, healthcare-driven team, you’ll interact with physicians offices and patients to ensure compliance and timely

Qualifications

• Bachelor’s degree preferred but not required.
• Experience checking authorizations.
• Must be experienced with CPT codes.
• Detailed and able to work in a high production environment.
• Healthcare experience a must.
• Local or within driving distance.

Responsibilities

• Verify that sufficient information is available for accurate verification and eligibility, possibly contacting physician offices or patients.
• Determine if a secondary insurance should be added to the patient account, ensuring the appropriate payer is selected for Primary insurance.
• Utilize vendor centers and payer websites to obtain eligibility, benefits, pre-certs, and authorization information.
• Enter patient insurance information into the accounting system with correct payer and financial class.
• Notify manager if patient’s insurance is Out of Network and follow policy for such payers.
• Document findings in the patient account and communicate estimated co-insurance, co-pays and deductibles to patients as applicable.
• Call patients as part of CMS compliance prior to the date of service to review ownership, directives and rights.

Skills

CPT codes

Healthcare knowledge

High production environment

Local travel

Education

Bachelor’s degree preferred

Job description

SCA Health is seeking an Insurance Verifier/Authorization specialist in Savannah to support patient accounts. The role focuses on verifying patient insurance information, obtaining authorizations, and calculating expected payments.

You will apply knowledge of CPT codes, payer policies and CMS guidelines to ensure accurate billing and patient communication. As part of a high-volume, healthcare-driven team, you’ll interact with physicians offices and patients to ensure compliance and timely