Patient Access & Insurance Specialist

Lawall; Pennsylvania; On-site; USD 36,000 - 48,000; Full time

Benefits offered by this job

Stable Monday–Friday schedule

Supportive and collaborative team

Opportunities for professional growth

Competitive pay and benefits

Make a difference in patients’ lives

Job summary

Lawall Prosthetic & Orthotic Services in King of Prussia, PA is seeking a Patient Services Representative to be the first contact for patients, referral sources, and visitors. You will verify insurance benefits and obtain prior authorizations to ensure timely access to prosthetic and orthotic services.

Reporting to the Patient Accounts Supervisor, you will collaborate with clinicians and billing staff, document verifications in our systems, monitor pending authorizations, and uphold HIPAA

Qualifications

• Experience with insurance verification, prior authorizations, medical billing, or healthcare reimbursement.
• Working knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans.
• Understanding of HCPCS coding, ICD-10 coding, and payer guidelines.
• Strong organizational skills with attention to detail.
• Excellent verbal and written communication skills.
• Ability to manage multiple priorities in a fast-paced environment.
• Proficiency with medical billing software and Microsoft Office applications.

Responsibilities

• Verify patient insurance eligibility, benefits, and coverage information.
• Obtain prior authorizations for prosthetic and orthotic services.
• Contact insurance companies to confirm coverage, authorization requirements, and claim status.
• Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
• Accurately document insurance verification and authorization information within company systems.
• Monitor and follow up on pending authorizations to minimize delays in patient care.
• Maintain knowledge of payer policies and documentation requirements.
• Ensure compliance with company policies, payer guidelines, and HIPAA regulations.

Skills

Insurance verification

Prior authorizations

Medical billing

Microsoft Office

Communication skills

Tools

Medical billing software

Job description

Lawall Prosthetic & Orthotic Services in King of Prussia, PA is seeking a Patient Services Representative to be the first contact for patients, referral sources, and visitors. You will verify insurance benefits and obtain prior authorizations to ensure timely access to prosthetic and orthotic services.

Reporting to the Patient Accounts Supervisor, you will collaborate with clinicians and billing staff, document verifications in our systems, monitor pending authorizations, and uphold HIPAA