Requirements
Job Responsibilities:
1. Eligibility Verification:
  - Verify patient insurance eligibility and benefits in a timely and accurate manner.
  - Ensure all necessary documentation is collected and properly communicated to the appropriate personnel.
  - Maintain up-to-date knowledge of insurance plans and changes in insurance policies.
2. Benefits Verification:
  - Obtain and clarify patient benefits information, and ensure it's accurately recorded in the system.
  - Communicate with insurance companies to resolve any discrepancies in benefits information.
3. Authorization Submission:
  - Prepare, submit, and follow up on authorization requests to insurance companies.
  - Ensure that all necessary documentation is submitted accurately and in a timely manner to avoid any delays in authorization.
4. Authorization Tracking:
  - Track authorization status and maintain an organized and up-to-date tracking system.
  - Communicate with healthcare providers and insurance companies to expedite the authorization process when necessary.
5. Documentation and Compliance:
  - Maintain accurate and complete documentation of all eligibility, benefits, and authorization activities.
  - Ensure compliance with federal and state laws, as well as company policies and procedures.
6. Customer Service:
  - Provide excellent customer service to patients, healthcare providers, and insurance companies.
  - Address and resolve any issues or concerns related to eligibility, benefits, and authorization in a professional and timely manner.
7. Team Collaboration:
  - Collaborate with other departments to ensure a seamless billing process.
  - Participate in team meetings and continuous improvement initiatives to enhance the efficiency and accuracy of the eligibility and authorization processes.
Qualifications:
1. Education:
  - High School Diploma required.
  - Associate’s or Bachelor’s degree in healthcare administration, business, or related field preferred.
2. Experience:
  - Minimum of 2 years of experience in medical billing, insurance verification, or related field.
  - Experience with authorization submission and tracking is highly desirable.
3. Skills:
  - Strong knowledge of medical insurance policies, procedures, and terminology.
  - Excellent organizational and multitasking skills.
  - Strong communication and customer service skills.
  - Proficiency in using medical billing software and Microsoft Office Suite.
4. Certifications:
  - Certification in Medical Billing or related field is a plus.
5. Other:
  - Ability to work independently and as part of a team.
  - Attention to detail and ability to work in a fast-paced environment.