Insurance Verification Specialist

USA Clinics Group; 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

A healthcare provider in Northbrook, IL is seeking a Full-Time position for a Medical Authorization Specialist. Candidates should have at least 2 years of experience in a healthcare setting, focusing on benefit verification and prior authorizations. Strong computer skills and excellent attention to detail are essential. The company offers health insurance, a retirement plan, and paid time off. Working hours are Monday-Friday on-site, providing a collaborative and customer-focused environment.

Qualifications

• Minimum of 2 years experience in a health care setting is required.
• Experience with benefit verification and prior authorizations.
• Billing and Coding or related certifications are preferred.

Responsibilities

• Review physician and patient documentation for Medical Necessity.
• Communicate status and needs regarding authorizations.
• Schedule emergent patients for outpatient diagnostic exams.
• Gather accurate patient demographic and billing information.

Skills

Customer Service skills

Attention to detail

Strong computer skills

Organizational skills

Data entry skills

Proofreading skills

Education

High school diploma

Advanced education preferred

Job description

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. 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 on-going 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 the 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 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)