Insurance Authorization Specialist

A company is looking for an Insurance Verification Auth Specialist.

Key Responsibilities

Identify and secure financial resources for complex inpatient and outpatient vascular surgeries and procedures

Verify insurance information, process referrals and prior authorizations, and monitor pre-authorizations

Communicate Advance Beneficiary Notice (ABN) and resolve pre-service authorization denials

Required Qualifications and Education

Two years of pre-authorization or referral coordinator experience, or related experience in insurance processing

Graduate of a health vocational program with one year of healthcare experience is acceptable

Two years of experience in customer service dealing with the public

One year of post high school business or college coursework preferred

National Association of Healthcare Access Management Certification (NAHAM) preferred