Insurance Authorization Specialist: Patient Access Champion

Naples Comprehensive Health - NCH; Naples (FL); On-site; USD 36,000 - 48,000; Full time

Job summary

Naples Comprehensive Health - NCH is seeking a Coordinator Insurance Authorization to deliver excellent customer service via phone, email, and written correspondence. The role involves obtaining referrals/authorizations using all tools and effectively documenting them in the EHR for contracted insurances and organizations.

The incumbent will ensure referrals/authorizations are managed efficiently, coordinate with practices and billing, and stay current on insurance changes while maintaining PHI

Qualifications

• Minimum of a High School diploma or GED is required.
• 1 year of medical billing experience or PSR experience required.
• Excellent customer service skills.
• Ability to effectively gather and exchange information in both oral and written communications.
• Organizational and time management skills and ability to work independently.
• Proficiency in computer keyboarding skills required.
• Ability to work independently with minimal supervision.
• Detail oriented, analytical skills, ability to problem solve and recommend resolutions.
• Ability to use MS Office Suite (Word, Excel, Outlook).
• Stays current on industry regulations and requirements.

Responsibilities

• Possess vast insurance plan knowledge.
• Ability to interpret and apply policies and procedures.
• Assists with maintenance of internal policies and procedures under Supervisor’s direction.
• Communicates with insurance companies to obtain referrals/authorizations via phone, fax, or insurance web portals.
• Follows up on referral/authorization inquiries that have not been immediately resolved.
• Works closely with the practices to ensure patient’s referral/authorization is active and correct.
• Ability to verify a patient’s eligibility to identify potential eligibility errors prior to the patient’s appointment.
• Updates EHR with referral and/or authorization information and acts as a liaison between the practices and billing department.
• Works closely with Revenue Integrity and the RC Billing & Denial Specialists to identify denial trends and assist in resolution.
• Stays current on all insurance changes related to referrals/authorizations.
• Ability to deal with diverse and challenging callers with the philosophy that the customer is always right.
• Protects patient confidentiality by ensuring protected health information (PHI) is secured.

Skills

Customer service

Communication

Organization

Time management

Typing

MS Office

EHR systems

Education

High School diploma or GED

Tools

EHR system

MS Office Suite

Job description

Naples Comprehensive Health - NCH is seeking a Coordinator Insurance Authorization to deliver excellent customer service via phone, email, and written correspondence. The role involves obtaining referrals/authorizations using all tools and effectively documenting them in the EHR for contracted insurances and organizations.

The incumbent will ensure referrals/authorizations are managed efficiently, coordinate with practices and billing, and stay current on insurance changes while maintaining PHI