
Sleep Specialist Insurance Coordinator
4 hours ago
We are seeking an experienced Medical Insurance Verification and Prior Authorization Specialist to support our high-volume sleep specialist office. This key role is responsible for verifying insurance benefits, obtaining prior authorizations efficiently and accurately, understanding and explaining co-pays, deductibles, and co-insurance to patients, and working with various insurance plans.
- Verify insurance eligibility for sleep studies, DME, and related procedures.
- Obtain prior authorizations in a timely manner while maintaining accuracy.
- Communicate complex insurance information clearly and professionally to patients.
- Work effectively with HMO and PPO insurance plans.
- Document and track authorizations in EMR systems and Excel.
- Support the front office and billing teams as needed.
Requirements and Skills
- 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.
- Excellent communication and organizational skills.
- Proficiency in EMR systems and Microsoft Office (especially Excel).
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