Remote Insurance Verification & Pre-Auth Specialist

Shriners Children’s Hospital; Sacramento, Northern (CA, KY); Hybrid; USD 40,000 - 57,000; Full time

Job summary

Shriners Children’s Hospital in Sacramento, CA is seeking an Insurance Verification Specialist to coordinate pre-authorizations and verify benefits for services performed at our Northern California location. This full-time role requires knowledge of major insurance plans, medical terminology, and coding practices.

You will work with ICD-10 and CPT codes, obtain authorizations, check eligibility, and communicate with insurance companies and providers.

Qualifications

• Knowledge of health care insurance systems, HMO/PPO/Medicaid/CCS.
• Medical terminology sufficient to communicate with patients and insurers.
• Microsoft Office (Word, Excel, Outlook) skills.

Responsibilities

• Coordinate pre-authorizations and denials for services.
• Verify insurance eligibility and benefits for patient admissions.
• Communicate with insurers and healthcare providers regarding authorizations.
• Maintain accurate information in EMR and other databases.
• Monitor and obtain authorizations from carriers in a timely manner.

Skills

Medical terminology

Insurance systems

Microsoft Office

ICD10 codes

CPT codes

Eligibility verification

Education

High School Diploma/GED

Tools

Electronic medical records

Job description

Shriners Children’s Hospital in Sacramento, CA is seeking an Insurance Verification Specialist to coordinate pre-authorizations and verify benefits for services performed at our Northern California location. This full-time role requires knowledge of major insurance plans, medical terminology, and coding practices.

You will work with ICD-10 and CPT codes, obtain authorizations, check eligibility, and communicate with insurance companies and providers.