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Insurance Verification / Authorization Reps

Insurance Verification / Authorization Reps

Prestige Staffing - Healthcare Jobs - Revenue CycleAtlanta, GA, US
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Job Description

Job Description

JobID : 51878

Job Title : Insurance Verification and Authorization Representative

Location :  Remote

Employment Type :  Full-Time / Contract

Pay :    $18-20 / hr.

Job Overview :

We are seeking a detail-oriented and highly organized Insurance Verification and Authorization Representative to join our team. In this role, you will be responsible for verifying patient insurance coverage, obtaining pre-authorizations, and ensuring that all necessary information is provided to healthcare providers and insurance companies to facilitate timely and accurate billing. You will play a critical part in ensuring the smooth processing of insurance claims and patient care services.

Key Responsibilities :

Insurance Verification :

Verify patient insurance coverage and benefits for both primary and secondary policies.

  • Communicate with insurance companies to obtain accurate and up-to-date information regarding patient coverage.
  • Confirm eligibility for specific services, procedures, or treatments with the insurance provider.
  • Address discrepancies or issues with insurance coverage and work with the billing team to resolve them.

Authorization Management :

Obtain prior authorizations from insurance companies for medical services, procedures, or treatments as required.

  • Ensure timely submission of pre-authorizations and follow up with insurance companies when necessary.
  • Maintain accurate records of authorization statuses and track pending requests.
  • Documentation & Compliance :

    Maintain accurate and detailed records of all verification and authorization activities in the system.

  • Ensure compliance with insurance policies, regulatory standards, and internal protocols.
  • Stay updated on changes in insurance policies and procedures to ensure accurate and efficient handling of verification and authorization processes.
  • Skills & Qualifications :

  • High school diploma or equivalent required
  • Previous experience in insurance verification, medical billing, or authorization processes preferred.
  • Knowledge of healthcare insurance plans, coding, and medical terminology is a plus.
  • Strong communication and interpersonal skills to interact with patients, insurance providers, and healthcare teams.
  • Ability to handle confidential and sensitive information in accordance with HIPAA guidelines.
  • Strong attention to detail and ability to manage multiple tasks simultaneously.
  • Proficiency in using EPIC preferred
  • #zr-rep

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    Insurance • Atlanta, GA, US

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