Insurance Verification Specialist - Spanish Speaking

USA Vein Clinics, Vascular, Fibroid and Oncology Centers; Northbrook (IL); Vor Ort; USD 31.684 - 35.817; Vollzeit

Benefits dieser Stelle

Health insurance (medical, dental, vision)

Retirement plan

Paid time off (vacation and sick)

Zusammenfassung

USA Vein Clinics, Vascular, Fibroid and Oncology Centers in Northbrook, IL, is seeking a Full-Time Authorization Specialist. The role involves reviewing physician and patient documentation for insurance authorizations, managing communication with offices and patients, and ensuring compliance with health protocols. Applicants should have at least 2 years of healthcare experience and possess strong attention to detail and customer service skills. Benefits include health insurance and a retirement plan.

Qualifikationen

• At least 2 years of prior experience in a healthcare setting handling benefit verification and prior authorizations.
• Billing and coding or other related certifications preferred.
• Immaculate attention to detail and excellent proofreading skills.

Aufgaben

• Review referring physician and patient documentation for medical necessity.
• Communicate with staff regarding status of authorizations.
• Liaise with offices and patients regarding insurance authorizations.
• Schedule emergent patients for outpatient diagnostic exams.
• Interact with patients to collect and verify information.

Kenntnisse

Customer service skills

Attention to detail

Data entry skills

Computer skills

Organizational skills

Ausbildung

High school diploma

Advanced education preferred

Jobbeschreibung

USA Clinics Group is a nationwide network of outpatient clinics specializing in vein, fibroid, vascular, and prostate care, offering minimally invasive treatments close to home.

Position Details

• Location: Northbrook, IL
• Schedule: Full-Time, Monday-Friday (on-site)
• Compensation: $23-$26 per hour based on experience and qualifications

Responsibilities

• Review referring physician and patient documentation for medical necessity against insurance protocol requirements for pre-certification purposes
• Actively communicate with staff regarding status of authorizations and manage reschedule or cancellation when authorization is not in hand
• Liaise with offices and patients regarding new, changed, or pending insurance authorizations, providing ongoing education about changes in requirements
• Schedule STAT, emergent patients for outpatient diagnostic exams
• Interact with patients, representatives, physicians, and office staff to collect and verify accurate demographic, billing, and clinical information
• Produce and distribute required forms with accurate patient information
• Respect and protect patient confidentiality and privacy, disclosing information only for professional purposes in the patient's best interest
• Display a positive attitude when interacting with provider office staff, providers, and colleagues
• Perform additional duties as assigned

Requirements

• High school graduate required; advanced education preferred
• At least 2 years of prior experience in a healthcare setting handling benefit verification and prior authorizations
• Billing and coding or other related certifications preferred
• Strong computer and 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 (vacation and sick)