Insurance Verification & Authorization Agent

Optimus Health Care Inc.; Bridgeport (CT); On-site; USD 28,000 - 39,000; Full time

Job summary

Optimus Health Care Inc. in Bridgeport, CT is seeking a full-time Insurance Verification & Authorization Specialist to verify and coordinate benefits, determine eligibility, and ensure accurate patient billing for diverse health services across multiple locations.

The position emphasizes patient privacy, precise documentation, and collaboration with the Practice Manager on optimization projects. Ideal candidates have strong computer skills, familiarity with EMR systems, and a willingness to work

Qualifications

• Education: High School diploma/GED, Associates degree preferred.
• Experience: five years experience preferred, preferably in a health care setting.
• Language Skills: Bi-lingual Helpful

Responsibilities

• Review appointment schedules to identify insurance for verification, with particular insurance plans.
• Verify insurance coverage, copays and deductibles through employer, insurance carrier, and/or online verification including the amounts met to date and any pre-authorization requirements.
• Verify coordinate of benefits in using the birthday rule, if patient is a minor.
• Update patient notes in the system with pertinent insurance changes or concerns, as a means to ensure account history is available for respective departments.
• Works closely and assists the Practice Manager with related special projects as necessary, including billing participation in performance improvement initiatives
• If patient qualifies for entitlement refer (by task) to FCC.
• Responsible to communicate with patient on insurance coverage concerns and any additional information required by carrier to process payment.
• Perform other related duties as required.

Skills

Great computer skills

Bi-lingual

Commitment to patient privacy

Education

High School diploma/GED

Associates degree preferred

Tools

EMR

Job description

Join a Team That Makes a Difference at Optimus Health Care!

Are you passionate about providing high-quality, patient-centered care? Optimus Health Care—the largest provider of primary health care services in Fairfield County is looking for dedicated professionals to join our team! With multiple locations in Bridgeport, Stratford, and Stamford, our mission is to be a lifelong health care partner, dedicated to achieving optimal wellness for the communities we serve. Optimus Healthcare is looking for a Full Time Insurance Verification & Authorization Specialist to join our team in Bridgeport, CT location.

Essential Functions & Responsibilities

• Review appointment schedules to identify insurance for verification, with particular insurance plans.
• Verify insurance coverage, copays and deductibles through employer, insurance carrier, and/or online verification including the amounts "met to date" and any pre-authorization requirements.
• Verify coordinate of benefits in using the "birthday rule", if patient is a minor.
• Update patient notes in the system with pertinent insurance changes or concerns, as a means to ensure account history is available for respective departments.
• Works closely and assists the Practice Manager with related special projects as necessary, including billing participation in performance improvement initiatives
• If patient qualifies for entitlement refer (by task) to FCC.
• Responsible to communicate with patient on insurance coverage concerns and any additional information required by carrier to process payment.
• Perform other related duties as required.

Additional General Requirements

Great computer skills.

Familiarity with EMR, helpful.

Commitment to maintenance of patient privacy

Flexibility to work at other OHC sites as necessary.

Job Qualifications/Requirements

Education: High School diploma/GED, Associates degree preferred.

Experience: five years experience preferred, preferably in a health care setting.

Language Skills: Bi-lingual Helpful

Compensation decisions are made in accordance with applicable federal and Connecticut equal-pay requirements. The final offer will be determined based on job-related factors, including relevant experience, education, specialized skills, scope of responsibilities, market conditions, and internal equity. The salary range does not guarantee placement at any specific point within the range. Eligible employees may receive employer-sponsored benefits, covering medical, dental, and vision coverage; retirement benefits; paid time off and holidays; and other employer-sponsored benefits, subject to plan terms and eligibility.

Optimusi is committed to providing equal employment opportunities to all applicants and employees as protected by applicable federal and/or state law.