Insurance Verification & Prior Authorization Specialist

Vein Clinics of America, Inc.; Northbrook (IL); On-site; USD 31,684 - 35,817; Full time

Benefits offered by this job

Health insurance (medical, dental, vision)

Retirement plan

Paid time off (PTO) (vacation, sick)

Job summary

Vein Clinics of America, Inc. is seeking an Insurance Verification Specialist in Northbrook, IL. This full-time role involves reviewing documentation for medical necessity, communicating with staff about authorizations, and ensuring confidentiality. Candidates must be high school graduates with at least 2 years of healthcare experience in benefit verification and authorizations. The position offers health insurance, retirement plans, and paid time off.

Qualifications

• At least 2 years of experience in healthcare handling benefit verification and authorizations.
• Billing and coding or related certifications preferred.

Responsibilities

• Review physician and patient documentation for medical necessity.
• Communicate authorization status and need for reschedule if necessary.
• Liaise with offices and patients about insurance authorizations.
• Schedule emergent patients for outpatient diagnostic exams.
• Gather and ensure accuracy of patient information.
• Produce forms with accurate patient information.
• Maintain patient confidentiality and privacy.
• Perform additional duties as assigned.

Skills

Strong computer skills

Excellent typing skills

Attention to detail

Customer service skills

Data entry skills

Organizational skills

Education

High school graduate

Advanced education

Job description

Insurance Verification Specialist

Position Details

• Location: Northbrook, IL
• Schedule: Full‑Time, Monday‑Friday (on‑site)
• Compensation: $23‑$26hr based on experience and qualifications.

Responsibilities

• Reviews referring physician and patient documentation for medical necessity against insurance protocol requirements for pre‑certification purposes.
• Actively communicates with staff regarding status of authorization; communicates the need for reschedule and/or cancellation if authorization not in hand.
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as ongoing education of changes in authorization requirements.
• Responsible for scheduling STAT, emergent patients for outpatient diagnostic exams.
• Interacts with patients, their representatives, physicians, physician office staff, and others to gather and ensure accuracy of demographic, billing and clinical information.
• Produces and distributes required forms with accurate patient information.
• Respects and protects the patient’s rights to confidentiality and privacy and discloses information only for professional purposes which are in the patient’s best interests with full consideration of their legal rights.
• Displays a positive attitude when interacting with provider’s office staff, providers and fellow employees.
• Performs additional duties as assigned.

Qualifications

• High school graduate required. Advanced education preferred.
• At least 2 years of prior experience in a healthcare setting handling benefit verification and prior authorizations required.
• Billing and coding or other related certifications a plus.
• Strong computer skills and excellent typing skills.
• Immaculate attention to detail and excellent proofreading skills.
• Excellent customer service skills.
• Strong data entry skills.
• Excellent organizational skills.

Benefits

• Health insurance (medical, dental, vision)
• Retirement plan
• Paid time off (PTO) (vacation, sick)