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Medical Insurance and Authorisation Specialist
2 weeks ago
At our sleep specialist office, we have an exciting opportunity for a Medical Insurance Verification and Prior Authorization Specialist to join our high-volume team.
- Verify insurance benefits and eligibility for sleep studies, DME, and related procedures efficiently and accurately.
- Obtain prior authorizations in a timely manner while working with various insurance plans including HMO and PPO.
- Document and track authorizations in EMR systems and Excel, providing clear and professional communication with patients and insurance companies.
- Support front office and billing teams when needed, handling a high call volume with excellent phone etiquette and attention to detail.
- A minimum of 2 years of experience in medical insurance verification and prior authorization is required.
- Strong knowledge of co-pays, deductibles, co-insurance, and insurance plan types is essential.
- Familiarity with sleep studies and DME services is preferred but not required.
- Excellent verbal and written communication skills are necessary, along with proficiency in EMR systems and Microsoft Office (especially Excel).