Insurance Verification Specialist

USA CLINIC SL; 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)

Job summary

USA CLINIC SL is seeking an Insurance Verification Specialist in Northbrook, IL. This role involves reviewing patient documentation for insurance pre-certification, managing communication about authorizations, and scheduling outpatient diagnostic exams. Applicants should have at least 2 years of healthcare experience, excellent computer and customer service skills, and a high school diploma. Benefits include health insurance and paid time off.

Qualifications

• High school graduate required; advanced education preferred.
• At least 2 years of experience in a healthcare setting required.
• Strong computer, typing, and data entry skills needed.

Responsibilities

• Reviews physician and patient documentation for pre-certification.
• Communicates with staff regarding authorization statuses.
• Responsible for scheduling patients for exams.

Skills

Customer Service skills

Attention to detail

Data entry skills

Strong computer skills

Organization skills

Education

High school graduate

Advanced education preferred

Billing and Coding certifications

Job description

Insurance Verification Specialist

Position Details

• Location: Northbrook, IL
• Schedule: Full-Time, Monday-Friday (on-site)
• Compensation: $23-$26/hr 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 and the need for reschedule and/or cancellation if authorization is 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 that 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.

Requirements

• High school graduate required. Advanced education preferred.
• At least 2 years of prior experience in a health care 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)