Medical Insurance Verification Specialist

SmartHealth; Phoenix (AZ); On-site; USD 45,000 - 65,000; Full time

Job summary

SmartHealth recherche un spécialiste de la vérification d'assurance dermatologique pour assurer la couverture et les bénéfices des patients. Vous serez en charge de la vérification des assurances avant les rendez-vous et de la communication efficace avec les patients et les assureurs. Ce rôle nécessite des compétences en communication exceptionnelles et une expérience dans la gestion des autorisations préalables.

Qualifications

• Expérience en autorisation préalable ACHHHS requise.
• Compétences de communication exceptionnelles avec une attitude amicale et professionnelle.
• Capacité à travailler de manière autonome dans un environnement rapide.

Responsibilities

• Vérifiez la couverture d'assurance des patients avant les rendez-vous.
• Contactez les compagnies d'assurance pour confirmer l'éligibilité et les détails de la couverture.
• Entrez et mettez à jour les informations d'assurance dans le système EHR.

Skills

Communication

Proficient in technology

Job description

Our Dermatology Insurance Verification Specialist conducts real-time benefit and insurance eligibility verifications as well as for our house call & video visit patients. While collaborating with payers, patients, and clinic staff to ensure a seamless check-in process.

What You'll Do

• Verify patient insurance coverage and benefits before scheduled appointments or procedures
• Contact insurance companies via phone, email, or web portals to confirm eligibility, coverage details, copayments, deductibles, and pre-authorizations
• Accurately enter and update insurance information in the patient's electronic health record (EHR) system
• Work closely with patients to communicate insurance benefits and financial responsibilities
• Identify and resolve insurance coverage issues that may delay or impact patient care
  
  

Skills And Experience

• ACHHHS prior authorization experience is required
• Exceptional communication skills with a friendly and professional demeanor
• Technological proficiency and the ability to work independently in a fast-paced environment
  
  

In support of our mission statement, "Healthier Practices, Healthier Patients," we have a Tobacco Free Environment. We prefer NOT to hire tobacco and nicotine users, includes vaping/e-cigarettes.