Our dynamic team is seeking an enthusiastic, friendly, and professional individual to provide exceptional customer service to our internal and external customers. Demonstrate the understanding of eligibility verification, insurance prior authorization, filing appeals. This candidate will respond timely to all customers' request/complaints. Provide basic insurance information to our internal and external customers via email/phone. Review and distribute daily correspondence. Must be able to navigate and handle complex insurance situation in a timely manner, manages frequent interruptions and prioritizes work in a dynamic fast paced work environment. Candidate must be able to obtain and input corrected insurance/patient information as needed in the system and follows established policies and procedures to manage various insurance denial situations.

Review pending authorizations report and initiating authorizations into the proprietary system.
• Checking benefits and eligibility
• Ensuring that all necessary documentation is scanned into the proprietary system
• Insurance verification
• Provide support to the clinics for any insurance related questions, including benefit interpretation.
• Outreach to patients and providers to obtain missing information, deductible payments, etc.
• Knowledge of CPT/Diagnosis Codes
• Develop and support effective communication with internal/external customers.
• Monitor overall flow and communicate discrepancies to management in a timely manner.
• Resolve issues in a timely manner.
• Appeal denials with clinical documentation
• Demonstrates the ability to work in a team environment.
• Performs other office duties as assigned.

• 5+ years' experience with benefit verifications and insurance eligibility checks
• 3+ experience working in Medical Office or Hospital setting.
• Basic medical coding knowledge, insurance guidelines and HIPAA
• Excellent customer services skills
• Detail oriented and organized
• Ability to multi-task and manage large number of requests within assigned time
• Has a good understanding of basic computer skills and the ability to learn how to use proprietary software quickly.
• Exhibits self-motivation, the ability to multitask and pay close attention to small details.
• Can think logically to provide answers to customer questions as well as resolutions for various issues that may arise.
• A positive attitude and the ability to build relationship with our internal and external clients.
• Excellent writing and verbal communication skills required.
• Prior experience with eligibility and or authorizations for all payors

The Company is an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, or protected veteran status.

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