Pre-Service Insurance Specialist at Insight Global in Mobile, Alabama

Posted in Other about 2 hours ago.

Type: full-time





Job Description:

Insurance Verification/Pre-Service Specialist

M-F, 8 AM-5 PM

Mobile, AL (Must be onsite for first 90 days -maybe remote afterwards based on performance)

$16-$19/hour based on years of relevant experience

Must Haves:

High school diploma or equivalent

2+ years of insurance verification and/or precertification experience in a medical office or hospital setting.

EMR/EHR experience

Plusses:

Cerner experience

Hospital experience

Responsibilities:
  • Tracks progress, expedites responses from insurance carriers and other payers, and maintains contact with patients, departments and providers to keep them continuously informed
  • Tracks, reports, and escalates service issues arising from requests for authorizations, financial assistance or other issues that delay service, to ensure patient access and to avoid delays that may interrupt care of therapies
  • Obtains clinical, lab and medical testing documentation from at least two EMR's and from paper documentation for submission to payers
  • Interacts with all necessary portals to submit authorization requests electronically to receive as timely of responses as possible, using websites and telephone services as needed
  • Participates in regular group discussions regarding effectiveness of service by reviewing results, including any denials for reason under the purview of this position

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