Insurance Verification & Authorization Specialist

SCA Health (India); Florida; On-site; USD 25,000 - 34,000; Full time

Job summary

SCA Health is hiring for an Insurance Verification/Authorization professional in Florida. The role covers verifying patient eligibility, determining secondary payers, and documenting financial responsibilities for each patient account.

Responsibilities include obtaining and entering authorizations, understanding payer contracts, and communicating financial policies to patients. Strong attention to detail and healthcare experience are essential for success.

Qualifications

• Bachelor’s degree preferred but not required.
• Experience checking authorizations.
• Must be experienced with CPT codes.
• Detailed and able to work in a high production environment.
• Healthcare experience a must.
• Local or within driving distance.

Responsibilities

• Verify sufficient information for accurate verification and eligibility, may require contact with physician offices or patients.
• Determine if secondary insurance should be added to the patient account and select the appropriate payer.
• Use vendor centers or payer websites to obtain eligibility, benefits and pre-certs/authorization information.
• Enter patient insurance information into the accounting system with correct payer and financial class.
• Notify manager immediately when patient’s insurance is Out of Network and follow policy.
• Document findings and contact patient with estimated co-insurance, co-pay, or deductible amounts due.
• Call patients as part of CMS Conditions for Coverage compliance prior to service to review ownership, directives and patient rights.
• Obtain authorizations from insurance companies/physician offices and ensure correct information is entered into the system.
• Ensure authorization covers procedure, date of service, facility and include CPT codes.
• Include high-cost implants or equipment rentals on the authorization.
• Check approved procedure lists/medical policies; inform patient if not payable and obtain non-covered notification if proceeding.

Skills

Authorization checks

CPT codes

Healthcare experience

Detail oriented

Local candidate

Education

Bachelor’s degree

Job description

SCA Health is hiring for an Insurance Verification/Authorization professional in Florida. The role covers verifying patient eligibility, determining secondary payers, and documenting financial responsibilities for each patient account.

Responsibilities include obtaining and entering authorizations, understanding payer contracts, and communicating financial policies to patients. Strong attention to detail and healthcare experience are essential for success.