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23 hours ago
We are seeking a reliable and experienced medical insurance specialist to support our operations.
Key Responsibilities:- Verify patient eligibility for medical services and obtain prior authorizations efficiently and accurately.
- Understand and explain co-pays, deductibles, and co-insurance to patients.
- Work with various insurance plans including HMO and PPO.
- Document and track authorizations in electronic medical record systems and Excel.
- Communicate clearly and professionally with patients and insurance companies.
- Support front office and billing teams when needed.
- Handle a high call volume with excellent phone etiquette and attention to detail.
- 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 durable medical equipment (DME) services is preferred but not required.
- Ability to multitask, stay organized, and adapt to changing priorities.
- Excellent verbal and written communication skills.
- Proficient in electronic medical record systems and Microsoft Office applications, particularly Excel.
- Strong team player with a positive attitude and proactive approach.
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