Medical Pre-Authorization & Insurance Specialist

USA Health Systems; Mobile (AL); On-site; USD 36,000 - 52,000; Full time

Job summary

USA Health is seeking a qualified Insurance Verification Specialist to support payment processes across Mobile facilities. The role emphasizes accuracy in verifying coverages and obtaining necessary precertifications to enable timely patient care.

Responsibilities include submitting authorizations, gathering documentation, and coordinating with payers, providers and patients. A high school diploma plus two years of insurance verification or precertification experience in medical settings is

Qualifications

• High school diploma or equivalent; two years of insurance verification and/or precertification experience in a medical office or hospital setting.

Responsibilities

• Follows compliance requirements and hospital policies in all duties.
• Obtains clinical and lab documentation from EMRs for payer submissions and authorizations.
• Submits authorization requests electronically via payer portals and coordinates with payers to avoid delays.
• Communicates with patients, departments and providers to keep them informed and to resolve access-to-care issues.

Skills

Insurance verification

Precertification

Compliance awareness

Education

High school diploma or equivalent

Job description

USA Health is seeking a qualified Insurance Verification Specialist to support payment processes across Mobile facilities. The role emphasizes accuracy in verifying coverages and obtaining necessary precertifications to enable timely patient care.

Responsibilities include submitting authorizations, gathering documentation, and coordinating with payers, providers and patients. A high school diploma plus two years of insurance verification or precertification experience in medical settings is