About the role
- **Responsibilities:**
- - Verify patient insurance coverage for medical services and procedures
- - Obtain and follow up on prior authorizations and referrals
- - Communicate with insurance companies, provider offices, and patients as needed
- - Accurately document all verification and authorization activity in our EMR/EHR system
- - Resolve insurance-related issues before they impact scheduling or billing
- - Maintain confidentiality and comply with HIPAA regulations
Requirements
- **Qualifications:**
- - **2+ years** of experience in insurance verification and prior authorization (required)
- - Experience in a healthcare setting (clinic, hospital, or private practice)
- - Knowledge of commercial insurance plans, Medicare, Medicaid, and HMO/PPO structures
- - Familiarity with medical terminology
- - Excellent communication and organizational skills
- - Proficient with EMR/EHR systems and online insurance portals
- - Self-motivated and comfortable working independently in a virtual environment
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
insurance verificationprior authorizationmedical terminologydocumentationbilling resolution
Soft skills
communicationorganizationalself-motivatedindependent work