What are the responsibilities and job description for the Health Insurance Verification and Authorization Specialist position at US Rehabilitation and Health Services?
Overview
We are seeking a detail-oriented and EXPERIENCED Insurance Verification and Authorization Specialist to join our team. In this role, you will be responsible for verifying patient insurance information and ensuring that all necessary documentation is accurate and up to date. You will play a crucial part in the medical billing process, facilitating smooth communication between patients, healthcare providers, and insurance companies. You will be responsible for obtaining prior authorization as required by specific insurances. Must have experience in physical rehabilitation ( Physical, Occupational, Speech therapies and/or Chiropractic).
Duties
- Conduct thorough verification of patient insurance coverage and benefits prior to appointments or procedures.
- Review medical records to ensure proper coding using ICD-10 and ICD-9 standards.
- Communicate with insurance companies to resolve any discrepancies or issues related to coverage.
- Maintain accurate records of all verification activities and updates in the medical office system.
- Collaborate with healthcare providers to obtain necessary documentation for claims processing.
- Assist in coding medical procedures and diagnoses accurately to ensure compliance with regulations.
- Provide support in the dental office setting as needed, ensuring that all insurance-related inquiries are addressed promptly.
- Stay updated on changes in insurance policies, medical terminology, and coding practices.
Requirements
- Proven experience in Health Insurance Verification.
- Proven experience in obtaining authorizations in physical rehabilitation services ( Physical, Occupational, Speech therapies and/or Chiropractic).
- Strong understanding of medical terminology and coding practices (ICD-10 and ICD-9).
- Familiarity with medical records management and insurance verification processes.
- Excellent attention to detail with strong organizational skills.
- Ability to communicate effectively with patients, healthcare professionals, and insurance representatives.
- Proficient in using office software and electronic health record (EHR) systems.
- A background in medical coding or related fields is highly desirable.
If you are passionate about ensuring accuracy in patient care through effective insurance verification and authorization processes, we encourage you to apply for this vital role within our organization.
Job Type: Full-time
Pay: $18.00 - $22.00 per hour
Expected hours: 40 per week
Benefits:
- Disability insurance
- Health insurance
- Life insurance
- Paid time off
Experience:
- Health Insurance: 1 year (Required)
- Prior Authorization: 1 year (Required)
- Physical Rehabilitation: 1 year (Required)
Ability to Commute:
- Livonia, MI 48150 (Required)
Work Location: In person
Salary : $18 - $22