
Medical Insurance Verification/Prior Authorization Coordinator
10 hours ago
Medical Insurance Specialist Role Overview
">We are seeking a detail-oriented and organized Medical Insurance Verification/Prior Authorization Specialist to join our team. As a Medical Insurance Verification/Prior Authorization Specialist, you will be responsible for verifying insurance benefits and eligibility for sleep studies, durable medical equipment (DME), and related procedures.
">Key Responsibilities:
">- ">
- Verify insurance benefits and eligibility for sleep studies, DME, and related procedures.">
- Obtain prior authorizations efficiently and accurately.">
- Understand and explain co-pays, deductibles, and co-insurance to patients.">
- Work with various insurance plans including Health Maintenance Organizations (HMO) and Preferred Provider Organizations (PPO).">
- Document and track authorizations in electronic medical record (EMR) systems and Microsoft Excel.">
- Communicate clearly and professionally with patients and insurance companies.">
- Support front office and billing teams when needed.">
- Handle high call volumes with excellent phone etiquette and attention to detail.">
Requirements:
">- ">
- Minimum 2 years of experience in medical insurance verification and prior authorization.">
- Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types.">
- Familiarity with sleep studies and DME services is preferred but not required.">
- Ability to multitask, stay organized, and shift roles when necessary.">
- Excellent verbal and written communication skills.">
- Proficiency in EMR systems and Microsoft Office, especially Microsoft Excel.">
- Strong teamwork and problem-solving skills with a positive attitude.">
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