Insurance Verification & Authorization Specialist

ORTHOPEDIC SPECIALISTS OF SW; Fort Myers (FL); On-site; USD 36,000 - 48,000; Full time

Job summary

Orthopedic Specialists of SW Florida is seeking an Insurance Verifications Representative to join the Billing department. This full-time role oversees patient authorizations and verifications of insurance, coverage and benefits, with access to PHI.

Responsibilities include obtaining verifications, coordinating referrals, documenting eligibility, communicating with patients about out-of-pocket costs, and maintaining accurate records in the computer system.

Qualifications

• High School diploma or GED required.
• Associates degree preferred.
• Minimum of 2 years insurance and benefit experience.
• Knowledge of medical insurance and billing.
• Ability to document accounts clearly.
• Computer Literate – Windows environment.
• Knowledge of medical terminology.
• Strong organizational skills.
• Ability to perform basic mathematics.
• Ability to clearly communicate written and verbal instructions.
• Ability to efficiently manage multiple tasks and prioritize.
• Telephone etiquette and computer skills.

Responsibilities

• Receive patient information, calls or accesses website resources in respect to carrier documentation
• Obtain insurance verifications and authorizations from insurance companies via telephone, facsimile or online program
• Obtain and coordinate required patient referrals and insurance authorizations to support timely access to services
• Document eligibility and benefit information on insurance verification form
• Scan authorization and verification of patient’s eligibility and benefits
• Communicate with patients regarding their out-of-pocket expenses for large deductibles, limited benefit plans and out-of-network benefits
• Facilitate payment arrangements when necessary
• Communicate with appropriate staff members regarding problems relating to patient’s eligibility and benefits
• Document all necessary patient information and notes in computer system

Skills

Insurance verifications

Medical billing

HIPAA knowledge

Organizational skills

Telephone etiquette

Education

High School diploma or GED

Associates degree preferred

Tools

Windows OS

Billing software (generic)

Job description

Orthopedic Specialists of SW Florida is seeking an Insurance Verifications Representative to join the Billing department. This full-time role oversees patient authorizations and verifications of insurance, coverage and benefits, with access to PHI.

Responsibilities include obtaining verifications, coordinating referrals, documenting eligibility, communicating with patients about out-of-pocket costs, and maintaining accurate records in the computer system.