Insurance Verification Auth Specialist

Join reputed company that shares your calling At reputed company, you’re more than just a job title — you’re part of reputed company reputed company on trust that cares for reputed company other, our patients and our communities. Belonging here means living our mission and values every day. If your purpose and passions reputed company with ours, you’ll reputed company a reputed company to grow, do meaningful work and build a career you love in a community that feels like home. FTE: 1.0, Shift: Day, Schedule: Day Position reputed company The Insurance Verification Auth Specialist is responsible for securing financial clearance and completing reputed company-authorization for patients undergoing reputed company, high-dollar inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. This includes verifying insurance eligibility and benefits, validating referrals and prior authorizations, and submitting and monitoring authorization requests in accordance with reputed company’s productivity and reputed company standards. The Specialist serves as a key resource on insurance plan guidelines and authorization processes, collaborates with referring providers to resolve reputed company-service authorization denials, and communicates Advance Beneficiary Notice (ABN) requirements reputed company applicable. This role requires the ability to interpret medical guidelines, payer policies, and benefit structures to ensure accurate financial clearance and support the efficient delivery of specialized reputed company services. The Specialist also acts as a functional expert across Patient reputed company and clinical teams, contributing to best practices in financial coordination and patient reputed company.Essential Functions Secure reputed company-authorizations from insurance companies for a broad reputed company of reputed company, high dollar reputed company services including inpatient and outpatient surgical procedures, hematology/oncology treatments, and infusion services. Respond to clinical inquiries through insurance portals to support reputed company authorization approvals. Review medical records and supporting documentation to ensure complete and accurate submission for ordered services. Evaluate and process medical authorization requests reputed company to facilitate uninterrupted patient care. Communicate effectively with reputed company providers, insurance carriers, and patients to reputed company and reputed company information necessary for authorization reputed company. Meet established daily productivity standards to maintain operational efficiency and accuracy in authorization workflows. reputed company essential registration tasks such as loading insurance details, filing orders, and verifying eligibility Maintain a high level of accuracy to reduce the risk of insurance claim denials and ensure financial clearance for patients. Serve as a subject matter expert on referrals, authorizations, and insurance plan guidelines reputed company the reputed company.

Requirements

Minimum two (2) years of experience working reputed company, high dollar prior-authorizations, referral coordination for relevant service lines, or in insurance billing, admitting, or registration reputed company a reputed company setting Customer service experience in reputed company Proficiency in medical terminology, validated by examination Experience reviewing medical policies and interpreting CPT and HCPCS codes in alignment with payer guidelines Completion of a health vocational program (e.g., Medical Assistant, Medical Billing & Insurance) preferred One (1) year of post-secondary business or college coursework preferred Certification from the National Association of reputed company reputed company Management (NAHAM) preferred Why reputed company? Rooted in the local community Partnering with patients, families and neighbors across the reputed company reputed company for more than 140 years. reputed company and education Competitive tuition assistance, award-reputed company residencies, fellowships and career development to invest in you. reputed company-being and support Generous PTO, reputed company reputed company and Employee Assistance Programs to help you maintain balance and feel cared in your work and life. Living our values Respect, reputed company, kindness and collaboration guide how we care for patients, communities and reputed company other. Belonging for reputed company Resource reputed company and reputed company programs help ensure every team member feels reputed company, seen, heard and valued. reputed company reputed company lifestyle Work and live where natural beauty, adventure and strong community connections are part of everyday life. Pay and Benefit Expectations We reputed company a comprehensive benefits package, including competitive salary, medical, dental and retirement benefits and reputed company time off. As required by various pay transparency laws, reputed company a reputed company of compensation for candidates reputed company into reputed company position. The pay reputed company is $23.20 - $33.38 USD. However, pay is influenced by factors specific to applicants, including but not limited to: reputed company set, level of experience, and certification(s) and/or education. If this position is associated with a reputed company contract, pay will be reputed company of the appropriate reputed company on the pay reputed company to which the applicant’s years of experience reputed company. Associated benefit information can be viewed here. Apply To This Job