Employer Industry: Healthcare Services

Why consider this job opportunity:
- Opportunity for career advancement and growth within the organization
- Supportive and collaborative work environment
- Chance to make a positive impact on patient financial experiences
- Engaging role that interacts with various healthcare stakeholders
- Involvement in ensuring compliance with payer guidelines

What to Expect (Job Responsibilities):
- Verify insurance benefits, eligibility, and pre-determination requirements for all scheduled patients
- Confirm the correct insurance package is loaded into the patient's chart and update records as needed
- Coordinate with hospital radiology and scheduling teams to secure necessary authorizations for procedures
- Track and monitor authorizations and referrals, ensuring compliance with benchmark data and payer requirements
- Contact patients in advance of procedures to notify them of estimated financial responsibility and available payment options

What is Required (Qualifications):
- H.S. Diploma or GED required
- 1-2 years of experience in insurance verification, patient access, medical billing, or healthcare financial services required
- Strong understanding of insurance verification processes, medical benefit plans, and payer authorization requirements
- Knowledge of healthcare reimbursement practices, including prior authorization and referral processes
- Ability to work independently and prioritize tasks in a fast-paced environment

How to Stand Out (Preferred Qualifications):
- Associate Degree in Healthcare Administration, Business, or a related field preferred
- Experience working with electronic medical records (EMR), patient scheduling systems, and insurance payer portals preferred
- Excellent communication and customer service skills to interact professionally with patients, physician offices, and payers
- Strong attention to detail to ensure accuracy in insurance verification and documentation
- Knowledge of HIPAA regulations and patient confidentiality requirements

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