Insurance Verification & Authorization Specailist

Gentell, Inc.; Pennsylvania; On-site; USD 40,000 - 60,000; Full time

Job summary

Gentell, Inc. is seeking an Insurance Verification & Authorization Specialist in Yardley, PA. In this full-time position, you will be responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders.

Your role will involve communicating with insurance companies, documenting details accurately, and ensuring timely approvals to improve revenue. Candidates should possess experience in insurance verification or medical billing, attention to detail, and proficiency in medical coding.

Qualifications

• Experience with insurance verification, prior authorizations, or medical billing.
• Knowledge of medical insurance plans, including Medicare, Medicaid, and Commercial payers.
• Ability to communicate clearly with insurance representatives and internal teams.
• Proficient in computer systems and medical billing software applications.

Responsibilities

• Verify patient insurance eligibility and coverage details.
• Obtain prior authorizations for patient orders.
• Communicate with insurance companies to confirm coverage status.
• Document verification and authorization details accurately.

Skills

Attention to Detail

Organizational Skills

Clear Communication

Advanced Medical Billing Software

Tools

HCPC Coding

ICD-10 Coding

Job description

Description

Insurance Verification & Authorization Specialist

Job Summary

The Insurance Verification Specialist is responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders. This role ensures accurate insurance information, timely approvals, while reducing denials and improving revenue.

Key Responsibilities

• Verify patient insurance eligibility, benefits, and coverage details
• Obtain prior authorizations for patient orders
• Communicate with insurance companies to confirm coverage and authorization status
• Work closely with staff to resolve insurance issues
• Document verification and authorization details accurately in the system
• Follow up on pending authorizations to ensure timely approval

Work Details

• Employment type: Full-time in office
• Schedule: Monday–Friday
• Location: Yardley, PA

Requirements

Desired Minimum Qualifications

• Experience with insurance verification, prior authorizations, or medical billing
• Knowledge of medical insurance plans, including Medicare, Medicaid, Managed care and Commercial payers
• Strong attention to detail and organizational skills
• Ability to communicate clearly with insurance representatives and internal teams
• Proficiency in HCPC coding, ICD-10 coding, and allowable.
• Proficient in computer systems, including advanced knowledge of medical billing software applications.