Therapy Authorization / Insurance Verificat

Easy Recruiter; Los Angeles (CA); On-site; USD 42,000 - 54,000; Full time

Job summary

A dynamic healthcare provider in California is seeking an authorization and insurance verification specialist to handle insurance benefits verification for therapy visits. This role involves communicating with insurance companies, maintaining accurate data entry in EMR systems, and ensuring proper authorization is obtained. Ideal candidates will have a high school diploma, strong interpersonal skills, and knowledge of medical terminology. Flexible working hours are available to meet the department's needs.

Qualifications

• Communication with insurance companies.
• Experience in data entry and scheduling.
• Ability to work in a fast-paced environment.
• Ability to multitask in a fast-paced environment and strong organizational skills.
• Ability to work in a high-volume, patient-based clinic.
• Knowledge of third-party billing.
• Medical experience and knowledge of medical terminology.
• Ability to maintain confidentiality.
• Flexibility with work hours.
• Ability to travel to all sites if/when necessary.

Responsibilities

• Verify patients' therapy benefits with insurance.
• Obtain necessary authorizations for therapy visits.
• Scan and enter authorizations into EMR systems.
• Obtain PCP referrals and authorization when required per guidelines.
• Follow up on PCP referrals and Workers' Compensation requests for therapy visits.
• Identify and solve complex insurance benefit issues.
• Follow up with insurers to ensure authorization is obtained.
• Assist with billing needs as indicated.
• Enter authorizations into two EMR systems accurately.
• Schedule visits for therapy patients as necessary.
• Perform additional duties as assigned by the Manager.

Skills

Interpersonal skills

Attention to detail

Organizational skills

Multi-tasking

Knowledge of medical terminology

Education

High School diploma or equivalent

Tools

EMR systems

Job description

Therapy Authorization / Insurance Verificat

About the job Therapy Authorization / Insurance Verificat

GENERAL SUMMARY OF DUTIES:

Our growing Therapy Department is searching for an authorization and insurance verification specialist, responsible for verifying insurance benefits and obtaining authorization required for therapy visits. This position offers flexible hours Monday Friday between 7:00am 7:00pm

Essential Job Functions:

• Communicate with insurance companies to verify patients therapy benefits.
• Verify and obtain Workers Compensation state designation and authorization for therapy.
• Regularly review and keep up to date with current insurance guidelines.
• Obtain PCP referrals and authorization when required, as per insurance guidelines.
• Follow up on PCP referrals and Workers Compensation requests for therapy visits.
• Identify and solve complex insurance benefit issues.
• Follow up with insurance companies to ensure authorization is properly obtained.
• Assist with billing needs as indicated.
• Scan and enter authorizations into two EMR systems correctly and accurately.
• Schedule visits for therapy patient as necessary.
• Additional duties as assigned by the Manager to meet the departments needs.

Requirements:

• High School diploma or equivalent.
• Interpersonal skills to deal effectively with staff, patients, and physicians.
• Computer experience and accuracy in data entry regarding patient appointments and scheduling, attention to detail.
• Ability to multi-task in a fast-paced environment and organizational skills.
• Ability to work in a high-volume patient-based clinic.
• Knowledge of third-party billing.
• Medical experience and knowledge of medical terminology.
• Ability to maintain confidentiality.
• Must be flexible with work hours.
• Must be able to travel to all sites if/when necessary.