Insurance Verification & Authorization Specialist

Navient; United States; On-site; USD 24,108 - 34,495; Full time

Benefits offered by this job

Competitive benefits package

Job summary

R1 RCM Inc. is hiring a Registration Complete Insurance Verification Associate in the United States. The role focuses on minimizing financial risk by accurately verifying insurance coverage, eligibility, and authorization requirements, and documenting this information on patient accounts.

You will collaborate with clinical teams, notify payers of admissions, and obtain necessary authorizations. Success is measured through productivity scorecards and quality audits, with a base pay range of

Qualifications

• At least one year of similar patient-facing experience.
• Excellent customer service with strong oral and written communication.
• Ability to collaborate with peers and cross-functional teams.
• Ability to communicate professionally with patients and physician offices.

Responsibilities

• Initiates contact with insurance companies to verify benefits, eligibility, and authorization requirements.
• Submits and follows up on pre-certification, authorization, and retro-authorization requests.
• Obtains clinical information by collaborating with care management teams or accessing patient records.
• Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing.
• Identifies and corrects insurance plan code inaccuracies within the hospital system.
• Maintains HIPAA compliance and documents all actions clearly while communicating professionally.

Skills

Customer service

Communication

Teamwork

Cross-functional

Job description

R1 RCM Inc. is hiring a Registration Complete Insurance Verification Associate in the United States. The role focuses on minimizing financial risk by accurately verifying insurance coverage, eligibility, and authorization requirements, and documenting this information on patient accounts.

You will collaborate with clinical teams, notify payers of admissions, and obtain necessary authorizations. Success is measured through productivity scorecards and quality audits, with a base pay range of