Insurance/Precertification Authorization Verifier

Location: Geneva, IL
Status: Part-Time (30-35 Hours/Week)
Days/hours: Monday - Friday
Pay Rate (depending on experience): From $20.00/Hour

Summary

Verify insurance policy benefit information and obtain authorization, precertification, predetermination and/or referral when required. Ensure that patient insurance information is accurate and up to date in the practice management systems.

Essential Duties and Responsibilities

The essential duties and responsibilities include the following. Other duties may be assigned.

• Verify accurate patient insurance information using available benefit verification technologies.
• Ensure all insurance information has been completely and accurately entered in the practice management system.
• Obtain authorization, precertification, predetermination and/or referral when required.
• Identify special policy clauses and inform patients and appropriate financial counselors for future follow-up.
• Identify all patients without insurance benefits and direct them to the appropriate financial counselor to make financial arrangements.
• Support surgical, work comp and third party liability verification functions during employee absences.
• Inform lead insurance verifier of daily work flow progress for time frame processes and any problems that arise in the course of the day.

Qualifications

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required.

Education and/or Experience

Required:

• A High school diploma or equivalent.
• A minimum of two (2) years of healthcare insurance verification or similar experience.

Preferred:

• Previous work experience in an Orthopedic practice.

Benefits

• BCBS Medical
• Dental & Vision Insurance
• Paid Time Off (PTO)
• Holiday Pay
• 401k/Profit Sharing
• Short-Term Disability Insurance
• Life Insurance
• Various voluntary benefits