Job Summary
The Insurance Verification Specialist confirms patients’ insurance coverage accurately and on time, and monitors prior authorizations for procedures and referrals. Working with clinical and billing teams, the specialist helps reduce claim denials and ensures insurance-related information is documented correctly in the electronic health record.
Responsibilities
- Verify patient insurance coverage and confirm relevant details in a timely manner.
- Track prior authorization requirements and status for procedures and referrals.
- Coordinate with clinical and billing teams to support authorization and billing workflows and help prevent denials.
- Maintain accurate insurance and authorization documentation in the electronic health record.
Qualifications
- High School Diploma or GED required.
- Associate degree or relevant certification preferred.
- At least two years of experience in insurance verification, medical billing, or a comparable healthcare setting.
