Prosthetic Verification and Authorization Specialist

Job Description

Job DescriptionSalary:

Are you ready to take your career to the next level in a fast-paced, dynamic company? Were looking for a detail-oriented insurance verification and authorization specialist to join our growing team!

As an insurance verification and authorization specialist, youll play a crucial role in the revenue cycleensuring accurate and timely verifications and authorization of insurance benefits. Your knack for organization, love for policy, patient care, and commitment to precision will directly impact our operational success and client satisfaction.

Summary: Performs insurance verification and authorization services for multiple accounts effectively and efficiently. This role works directly under the Verification and Authorization Team Lead.

Primary Duties:

1. Assist the verification and authorization department to maintain all assigned account(s) by working directly with the client and the clients patients.
2. Learn and become proficient in all versions of software utilized by assigned accounts
3. Efficiently complete insurance verifications according to client procedures
4. Efficiently complete eligibility inquisitions
5. Efficiently complete authorizations, authorization follow-up, and authorization appeals
6. Documentation of all work performed in multiple versions of patient billing software
7. Answer routine incoming calls
8. Understand and comply with all policies and procedures in the Company handbook

Secondary Duties:

1. Phone Call Follow Ups
2. Sending Patient statements
3. Attends Continuing Education Seminars either in person or via webinar per Managements request
4. Attend and represent the Company at national and local trade shows per Upper Managements request

Required Knowledge and Skills:

1. Proficient in the following tasks:
   1. Verifications and Authorizations
   2. Appeal review, compilation, and submission

remote work