Insurance Verification & Authorization Specialist
Job Location:
Morrisville, NC - USA
Monthly Salary:
Posted:
Application Deadline:
Vacancies:
Job Summary
Insurance Verification & Authorization Specialist
Job Summary
The Insurance Verification Specialist is responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders. This role ensures accurate insurance information timely approvals while reducing denials and improving revenue.
Key Responsibilities
- Verify patient insurance eligibility benefits and coverage details
- Obtain prior authorizations for patient orders
- Communicate with insurance companies to confirm coverage and authorization status
- Work closely with staff to resolve insurance issues
- Document verification and authorization details accurately in the system
- Follow up on pending authorizations to ensure timely approval
Work Details
- Employment type: Full-time in office
- Schedule: MondayFriday
- Location: Yardley PA
Desired Minimum Qualifications
- Experience with insurance verification prior authorizations or medical billing
- Knowledge of medical insurance plans including Medicare Medicaid Managed care and Commercial payers
- Strong attention to detail and organizational skills
- Ability to communicate clearly with insurance representatives and internal teams
- Proficiency in HCPC coding ICD-10 coding and allowable.
- Proficient in computer systems including advanced knowledge of medical billing software applications.
Required Experience:
IC
About Company
Gentell is the largest vertically-integrated wound care company in the world. We provide efficient, affordable, patient-specific wound treatments for nursing homes, hospices and other care settings.
