Insurance Authorization Specialist

Job Summary

A company is looking for an Insurance Verification Auth Specialist.

Key Responsibilities

• Identify and secure financial resources for complex inpatient and outpatient vascular surgeries and procedures
• Verify insurance information, process referrals and prior authorizations, and monitor pre-authorizations
• Communicate Advance Beneficiary Notice (ABN) and resolve pre-service authorization denials

Required Qualifications and Education

• Two years of pre-authorization or referral coordinator experience, or related experience in insurance processing
• Graduate of a health vocational program with one year of healthcare experience is acceptable
• Two years of experience in customer service dealing with the public
• One year of post high school business or college coursework preferred
• National Association of Healthcare Access Management Certification (NAHAM) preferred