Insurance Verification & Authorization Specialist

Kennedy Krieger Institute, Inc.; Baltimore (MD); Presencial; USD 40 000 - 66 000; Tempo integral

Resumo da oferta

The Kennedy Krieger Institute, Inc. is seeking an Insurance Verification Specialist I to verify outpatient benefits, determine coverage, and ensure prompt payment.

The role supports triage staff and coordinates with payers, patients, and clinic teams. Responsibilities include obtaining referrals and authorizations when required, collecting patient demographics, documenting data in registration and billing systems, and maintaining accurate logs.

Qualificações

• High School diploma or GED required.
• 1 year of related experience with insurance benefit verification in a healthcare setting required.
• EPIC experience 2-3 years preferred.

Responsabilidades

• Verify insurance coverage and benefits using verification tools and contact payers when needed.
• Verify and obtain referrals, authorizations, or pre-certifications as required by payer.
• Collect patient demographics and facilitate PIN verification for clinical, billing, and regulatory purposes.
• Estimate self-pay portions after benefits are determined (deductibles, co-pays, non-covered services).
• Maintain documentation of efforts to promote team and clinic awareness.
• Communicate with patients, families, and KKI staff; keep parties informed of delays and issues.
• Forward supporting documentation to Care Centers, Patient Accounting, and clinical areas as applicable.
• Maintain browser and IAMS Error Logs; ensure accurate data entry into registration and scanning systems.

Conhecimentos

Customer service

Communication

Formação académica

High School diploma or GED

Associate degree desirable

Ferramentas

EPIC

Descrição da oferta de emprego

The Kennedy Krieger Institute, Inc. is seeking an Insurance Verification Specialist I to verify outpatient benefits, determine coverage, and ensure prompt payment.

The role supports triage staff and coordinates with payers, patients, and clinic teams. Responsibilities include obtaining referrals and authorizations when required, collecting patient demographics, documenting data in registration and billing systems, and maintaining accurate logs.