Insurance Verification & Authorization Specialist

Mount Sinai; United States; On-site; USD 41,000 - 44,000; Full time

Job summary

Mount Sinai Health System is hiring a Patient Access Representative focused on insurance verification and preauthorization. The role involves telephone interviews with patients, data capture in Eagle/EPIC, and ensuring cases are properly authorized for ambulatory and inpatient procedures.

Responsibilities include verifying eligibility, communicating deficiencies to patients and physicians, and coordinating with financial counseling to secure payment arrangements.

Qualifications

• High school diploma or equivalent required.
• Experience with Eagle ADT and EPIC/OnTrac systems preferred.
• Strong data entry and attention to detail for insurance verification.

Responsibilities

• Use EPIC to secure cases scheduled for ambulatory and inpatient procedures.
• Verify eligibility, pre-certification, and authorizations per codes.
• Notify patients/physicians of deficiencies requiring action.
• Identify payer requirements and secure timely approvals.
• Collect necessary information to finalize billing.

Skills

Customer service

Communication

Attention to detail

Education

High school diploma or equivalent

Tools

EPIC system

Eagle ADT

OnTrac

Job description

Mount Sinai Health System is hiring a Patient Access Representative focused on insurance verification and preauthorization. The role involves telephone interviews with patients, data capture in Eagle/EPIC, and ensuring cases are properly authorized for ambulatory and inpatient procedures.

Responsibilities include verifying eligibility, communicating deficiencies to patients and physicians, and coordinating with financial counseling to secure payment arrangements.