Insurance Verification & Authorization Specialist

Penn Medicine; Bala Cynwyd (PA); On-site; USD 41,000 - 55,000; Full time

Job summary

Penn Medicine is seeking an Insurance Verification Representative to support the Core Unit staff within Penn Medicine at Home. You will process insurance information, run reports, and enter authorizations to secure reimbursement for services.

You will also verify current coverage and communicate with Managed Care companies to obtain timely authorizations. Ideal candidates have a High School Diploma and 2+ years in admissions or insurance in home care or hospice, with strong organizational skills

Qualifications

• H.S. Diploma/GED required.
• 2+ years admissions or insurance experience in a home care or hospice setting.

Responsibilities

• Works with CORE nurses to ensure timely communication of insurance authorization information to Managed Care Companies.
• Follows up with managed care companies to secure timely insurance authorizations.
• Enters insurance authorizations into the system as faxed back from companies.
• Organizes and processes concurrent Authorization Management information and requests.
• Validates insurance coverage on existing patients weekly to ensure no changes in coverage or carriers.
• Communicates missing documentation to CORE unit manager, staff, or clinical team managers.

Skills

Insurance verification

Data entry

Communication with payers

Education

High School Diploma

Job description

Penn Medicine is seeking an Insurance Verification Representative to support the Core Unit staff within Penn Medicine at Home. You will process insurance information, run reports, and enter authorizations to secure reimbursement for services.

You will also verify current coverage and communicate with Managed Care companies to obtain timely authorizations. Ideal candidates have a High School Diploma and 2+ years in admissions or insurance in home care or hospice, with strong organizational skills