
Medical Insurance Specialist
5 days ago
We are seeking a seasoned Medical Insurance Specialist to support our medical operations. This key role involves verifying insurance benefits and prior authorizations for sleep studies, DME services, and related procedures.
Key Responsibilities:
- Verify patient insurance coverage and eligibility for medical procedures.
- Obtain prior approvals from insurance providers efficiently and accurately.
- Explain co-pays, deductibles, and co-insurance details to patients in a clear and professional manner.
- Manage multiple insurance plans, including HMO and PPO.
- Document and track authorizations using electronic medical records (EMR) systems and Excel spreadsheets.
- Collaborate with front office and billing teams as needed to ensure seamless service delivery.
- Communicate effectively with patients and insurance companies over the phone or via other channels.
Requirements:
- Minimum 2 years of experience in medical insurance verification and prior authorization.
- Strong knowledge of healthcare insurance policies, including co-pays, deductibles, and co-insurance.
- Ability to multitask, stay organized, and adapt to changing priorities.
- Excellent verbal and written communication skills.
- Proficiency in EMR systems and Microsoft Office applications, particularly Excel.
- Team player with a positive attitude and proactive approach.
Benefits of the Role:
- Opportunity to work in a dynamic healthcare environment.
- Chance to develop expertise in medical insurance verification and prior authorization.
- Collaborative team atmosphere with opportunities for growth and learning.
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