Insurance Verification & Authorization Specialist

United Surgical Partners International; Annapolis (MD); On-site; USD 38,000 - 52,000; Full time

Job summary

Anne Arundel Gastroenterology Associates is seeking an Insurance Verifier to support the billing supervisor in verifying eligibility, authorizations, and patient financial responsibility for scheduled and new patients.

You will use online eligibility systems, request pre-authorizations, document actions, and liaise with payers and staff to ensure accurate submissions and timely collections, while complying with privacy and department policies.

Qualifications

• High School diploma or equivalent required.
• 1 year in Healthcare Customer Service, Insurance Verification and Billing Systems from a Technical and Functional view (preferred)Word, Excel and Outlook experience required.
• Ability to learn new programs and systems required.
• Ability to read and evaluate Healthcare Receivables Information (required).
• Ability to effectively and correctly communicate to the staff, management and payers.

Responsibilities

• Conducts insurance verification and authorization validation on scheduled patients to ensure eligibility and that benefits are in order for accurate claim submission and payment.
• Utilizes online eligibility verification system and/or may contact the payer directly via telephone and/or access payer website.
• Requests pre-authorization/pre-certification for scheduled procedures, urgent procedures and imaging.
• Notates account with actions taken for pre-authorization/pre-certification and follows up on pending requests.
• Communicates with patient regarding financial responsibility to ensure collections of out-of-pocket payments.
• Acts as liaison between internal and external customers to assist in billing resolution and escalation as needed.

Skills

Healthcare customer service

Insurance verification

Billing systems

Communication

Education

High School Diploma

Tools

Word

Excel

Outlook

Job description

Anne Arundel Gastroenterology Associates is seeking an Insurance Verifier to support the billing supervisor in verifying eligibility, authorizations, and patient financial responsibility for scheduled and new patients.

You will use online eligibility systems, request pre-authorizations, document actions, and liaise with payers and staff to ensure accurate submissions and timely collections, while complying with privacy and department policies.