Entry Level Insurance Admin

Description

The Insurance and Auth Specialist is an Administrative support position that is considered the front line of the revenue cycle process when a patient is need of care and they need to start the insurance verification process.

Formal Overview:

Obtains authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner.

Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.

Obtains additional pre-certification as needed. Consults with the agency as needed for all private insurance referrals and documents/communicates via the software application in a timely manner.

Serves as a liaison between the branch location and the payer on a regular basis.

Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.

Accesses authorizations via email, telephone, fax, and/or on-line application in the most efficient and timely manner.

Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.

Problem solves independently before referring issues to the Supervisor/Manager for resolution.

Performs eligibility and or similar, comparable, or related duties as may be required or assigned.

Skills

medical, insurance, admin assistant, customer service, Administrative assistance, Customer service oriented, Emr, Customer support, call center, clerical support, administrative support, computer support, Ehr, data entry

Top Skills Details

medical,insurance,admin assistant,customer service,Administrative assistance,Customer service oriented,Emr,Customer support

Additional Skills & Qualifications

Consistent experience or ability to jump into a new environment, computer proficiency is extremely important!

Must complete MS EXCEL SHL Testing (70% and above, link below)

Experience Level

Entry Level