Insurance Verification Specialist

Job Summary

A company is looking for an Insurance Verification Specialist to obtain and verify insurance information and manage prior authorization processes.

Key Responsibilities

• Obtain and verify insurance eligibility and document information in the system
• Perform prior authorizations and collaborate with physician offices and insurance companies
• Handle inbound calls and resolve claim rejections related to eligibility and coverage

Required Qualifications

• High school diploma with 1+ years of medical billing or insurance verification experience
• Bachelor's degree in a related field may substitute for experience
• Experience with payors and prior authorization preferred
• Experience with Medicare Part D is highly preferred