Insurance Verification & Pre-Auth Specialist

Specialists Hospital; Shreveport (LA); On-site; USD 38,000 - 52,000; Full time

Benefits offered by this job

Health insurance

Vision insurance

401(k)

Dental insurance

Job summary

Specialists Hospital in Shreveport, Louisiana, seeks an Insurance Verification Specialist to ensure accurate pre-certification and verification for pre-admissions and procedures. You will obtain precise patient demographics, explain coverage details, and assist patients in arranging payment options for services not covered by insurance.

The role requires at least two years of related experience, strong communication, and the ability to manage multiple tasks in a fast-paced hospital setting while

Qualifications

• 2 years related experience and/or training
• Strong written and verbal communication skills
• Ability to prioritize multiple tasks and manage time
• Cross-functional teamwork experience
• Operates computers and medical software proficiently

Responsibilities

• Perform pre-registration and insurance verification within 24 hours of receipt of reservation/notification for inpatient and outpatient services
• Print procedure schedules daily
• Follow-up on schedules daily for patient add-ons
• Follow scripted benefits verification and pre-certification format
• Contact physician offices to resolve issues regarding prior authorization or referral forms
• Assign insurance mnemonics accurately
• Perform electronic eligibility confirmation when applicable and document results
• Explain coverage to patients and collect cost shares as needed
• Coordinate with Case Manager to resolve pre-existing, non-covered, and re-certification issues
• Meet performance expectations and adhere to downtime procedures

Skills

Communication skills

Telephone etiquette

Problem solving

Organizational skills

Independent work

Multitasking

Computer literacy

Education

High school diploma or equivalent

Job description

Specialists Hospital in Shreveport, Louisiana, seeks an Insurance Verification Specialist to ensure accurate pre-certification and verification for pre-admissions and procedures. You will obtain precise patient demographics, explain coverage details, and assist patients in arranging payment options for services not covered by insurance.

The role requires at least two years of related experience, strong communication, and the ability to manage multiple tasks in a fast-paced hospital setting while