Insurance Authorization Verification

JOB TITLE: Insurance Authorization Verification

GENERAL SUMMARY OF DUTIES: Verifies insurance coverage and reviews accuracy of authorizations. Determines patient qualification for coverage. Ensures excellent patient service for patients and families, physicians and staff, and visitors to Clinic. Upholds the mission statement and expectations of the facility.

ESSENTIAL FUNCTIONS:

• Verify patient insurance coverage and eligibility for medical services.
• Obtain prior authorizations from insurance companies for medical procedures and services.
• Communicate with healthcare providers to gather necessary documentation for authorization requests.
• Collaborate with insurance companies to resolve any authorization-related issues or denials.
• Maintain accurate and detailed records of authorization requests and approvals.
• Provide support to patients and healthcare providers regarding insurance coverage and authorization requirements.

EDUCATION/EXPERIENCE:

• High School diploma or equivalent.
• Two years previous experience with insurance authorization and verification required.
• Computer skills, basic office skills, knowledge of medical terminology required.