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Authorization / Insurance Verification Specialist

Highbar
Providence, RI Full Time
POSTED ON 3/5/2025
AVAILABLE BEFORE 5/27/2025

The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing.

What You'll Do :

  • Identify and solve complex insurance benefit issues.
  • Obtain detailed patient information to accurately submit to the proper insurance carriers.
  • Contact health care providers to obtain referrals or additional information as necessary.
  • Follow up with insurance companies to ensure receipt of patient benefit authorizations.
  • Must maintain strong attention to detail to transpose data and information accurately.
  • Schedule patient visits when necessary.
  • Guide and assist Patient Care Coordinators through difficult accounts.
  • Provide information and assist patients when help is needed by researching benefit coverage.
  • Assist other departments as needed, including Billing and Front Office.
  • Other duties may be assigned.

Qualifications :

  • Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.
  • Preference will be given to candidates with medical insurance and authorization knowledge.
  • Compensation Package :

  • We offer a comprehensive benefit's package including Medical, Dental & Vision; 401k with employer match; voluntary disability and life insurance options; Fitness & Wellness reimbursement; paid holidays and paid time off; Flexible work hours; Community volunteer opportunities, and more!
  • PI264032242

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