What are the responsibilities and job description for the Insurance Verification Specialist position at Addison Group?
About the Company:
Addison Group is recruiting for a client in the healthcare industry seeking a Prior Authorization Representative. This hybrid role involves working with insurance providers to ensure all services are properly authorized before patient care.
About the Role:
The Prior Authorization Representative will coordinate authorizations for services, working with third-party payers to confirm coverage and extend authorizations as needed. This role involves updating patient information, managing work queues, and achieving departmental productivity goals.
Responsibilities:
- Obtain authorizations from insurance providers prior to patient services.
- Document and update authorizations in the system and scan documents as required.
- Maintain assigned work queues, ensuring tasks are completed within expected timelines.
- Verify patient eligibility for care and resolve any coverage discrepancies.
- Maintain accurate patient demographic and insurance information in the system.
- Consistently meet and exceed productivity expectations.
Qualifications:
Experience in prior authorizations, especially in an ambulatory or surgery center setting. Familiarity with high-value or specialty authorizations (e.g., dermatology) is preferred. Proficient communication skills, particularly in handling phone-based authorizations with doctors. Experience using EPIC software is required. Bilingual in Spanish is a plus but not mandatory. Strong references indicating excellent attendance and punctuality.
Pay range and compensation package:
Pay: $19 - $23 per hour (based on experience)
Equal Opportunity Statement:
Addison Group is an Equal Opportunity Employer. Addison Group provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, genetic information, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Addison Group complies with applicable state and local laws governing non-discrimination in employment in every location in which the company has facilities. Reasonable accommodation is available for qualified individuals with disabilities, upon request.
Salary : $19 - $23
