Responsibilities:
- Verify patient insurance coverage for medical services and procedures
- Obtain and follow up on prior authorizations and referrals
- Communicate with insurance companies, provider offices, and patients as needed
- Accurately document all verification and authorization activity in our EMR/EHR system
- Resolve insurance-related issues before they impact scheduling or billing
- Maintain confidentiality and comply with HIPAA regulations
Requirements
Qualifications:
- 2+ years of experience in insurance verification and prior authorization (required)
- Experience in a healthcare setting (clinic, hospital, or private practice)
- Knowledge of commercial insurance plans, Medicare, Medicaid, and HMO/PPO structures
- Familiarity with medical terminology
- Excellent communication and organizational skills
- Proficient with EMR/EHR systems and online insurance portals
- Self-motivated and comfortable working independently in a virtual environment