PedIM Healthcare
Crystal River, FL, USA
Description:
Position Summary The Insurance Verification & Authorization Specialist is responsible for verifying patient insurance coverage, eligibility, and benefits to ensure a seamless billing and authorization process. This role involves securing prior authorizations, obtaining referrals when necessary, and documenting insurance details in the system. The specialist collaborates with various departments to ensure compliance with payer guidelines and maintains accuracy in patient records. Essential Duties and Responsibilities Verify patient insurance eligibility, benefits, and coverage status with insurance providers. Secure prior authorizations and referrals in accordance with payer contract requirements. Accurately document patient insurance details, including policy numbers, group numbers, copays, deductibles, and coinsurance, in the Practice Management (PM) system. Maintain and update an internal list of insurance carriers requiring authorization....