Insurance Verification Specialist - Kendall Park, NJ

Only for registered members Kendall Park, NJ , United States

1 month ago

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Job summary

An authorization coordinator determines a patient's eligibility for insurance benefits typically prior to medical treatments and tests Your role is primarily administrative designed to streamline the submissions process for patients and secure any necessary pre-authorizations

Responsibilities

Verifies member's eligibility and benefits with subsequent notification to designated staff of eligibility issues Re-verify existing patients insurance coverage when needed Obtain authorization for medical services when needed Keep track of the authorization on a regular basis Scans attaches reviews effectively works with electronic images as part of the authorization process Including recording the required information from attachments into the authorization fields Maintains appropriate logs records reports as established by Utilization Department Documents communicates areas of concern to supervisor Other tasks but not limited to communicate with patients regarding they benefits and answer phone when needed Adheres to company HIPAA policies procedures Identifying maintaining protecting sensitive HIPAA information PHI following procedures ensure security such information
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