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Insurance Verification

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Performs in depth insurance benefit verification with all payer sources to ensure maximum payment for services provided.

Experience utilizing payer portals as well as calling payers for benefits

Coordinates with patients to obtain all information needed, based on medical criteria from the insurance payer and patient chart.

Ensures insurance related tasks are performed accurately, efficiently, and timely to meet department and company goals. Meeting department standards of being 3 days out on verification.

Responsible for handling incoming and outgoing calls from internal team members, insurance payers, and patients related to insurance benefits with superior customer service skills.

Cross train with Patient Access, Billing, and Financial Counseling to ensure smooth workflow and functional coverage.

Cross train with Front Desk and Appointment scheduling, ready to fill in if needed.

Responsible for all authorization required for in office procedures, surgical, or obstetrical.

Athena Practice and AthenaOne experience preferred. EMR experience with auto-eligibility and entering and removing insurance packages as needed.

Attention to detail with patient demographics required for smooth claim submission to payer.

Insurance verification of OBGYN services
Obtaining Authorizations as required for in office and outpatient services
Familiarity with medical billing procedures
Strong organizational skills
Ability to thrive in a fast-paced and high-volume environment
The ability to verify up to 40-50 patients (clinical, surgical, obstetrical)

$20-$23