- Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
- Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
- Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going education of changes in authorization requirements.
- Responsible for scheduling STAT, emergent patients for outpatient diagnostic exams.
- Interacts with patients, their representatives, physicians, physician office staff, and others to gather and ensure accuracy of demographic, billing and clinical information.
- Produces and distributes required forms with accurate patient information.
- Respects and protects the patient's rights to confidentiality and privacy and discloses information only for the professional purposes which are in the patient's best interests with full consideration of their legal rights.
- Displays a positive attitude when interacting with provider's office staff, providers and fellow employees.
- Performs additional duties as assigned
- High school graduate required. Advanced education preferred.
- At least 2 years of prior experience in a health care setting handling benefit verification and prior authorizations, required
- Strong computers skills and excellent typing skills; 50wpm
- Immaculate attention to detail and excellent proofreading skills
- Excellent Customer Service skills
- Strong data entry skills
- Excellent organizational skills
- Billing and Coding or other related certifications a big plus
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Medical Insurance and Authorization Specialist - Northbrook, United States - USA Vein Clinics
Description
LocationNorthbrook
Description
USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Medical Insurance Verification/ Authorization Specialist This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is NOT an option.
Responsibilities
Full-Time
Pay Rate
Benefits
About the Organization
USA Clinics Group, a renowned healthcare organization specializing in vein treatment, was founded with a clear vision and a commitment to improving the lives of individuals struggling with venous issues. Our founders shared a common goal: to provide accessible, affordable, and high-quality vein treatment to those in need.
With over 168 vein clinic locations from coast-to-coast, we've become the largest network of vein treatment centers in the America. Our experienced vascular surgeons treat patients for a variety of venous diseases and symptoms from a comfortable outpatient setting.
Most of our patients experience discomfort from venous insufficiency, which affects 20 percent of the adult population. This common condition prevents blood in the lower extremities from circulating properly and causes it to pool in the legs.
Many people know that venous insufficiency can cause varicose veins, but it can also create other unpleasant symptoms in the legs such as heaviness, itchiness, swelling, leg cramps, and even ulcers. If left untreated, the condition can negatively impact a person's health and quality of life. We provide all our patients with compassionate care and long-lasting symptom relief.
At USA Clinics Group, we are a patient-focused organization. Our experienced physicians and team members are understanding and empathetic when it comes to listening to your individual needs. Our main goal is to work with our patients to develop a care plan they feel comfortable with.
EOE Statement
We are an equal employment opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability status, protected veteran status or any other characteristic protected by law.
This position is currently accepting applications.
