Insurance Verification Specialist

• Responsible for timely and accurate verification of patient insurance and appropriate compliance with payer pre-certification and authorization requirements.

• Ensures document retention and destruction, when appropriate, in compliance with established Policy and/or other applicable Guidelines.

• Uses available tools to ensure the appropriate level of benefit and pre-cert/auth detail is obtained. Must be able to communicate effectively and professionally to our patients and provider offices.

• Follows SOP to ensure accurate and complete benefit and pre-cert/auth information is obtained and recorded. 

• Works directly with multiple insurance websites for benefits and authorization validation

• Enters CPT and DRG codes, as needed.