Returning Candidate?

Insurance Verification Specialist

Insurance Verification Specialist

Job ID 
2017-1258
Job Locations 
US-FL-Tampa
Category 
Administrative/Clerical
Type 
Full-Time

More information about this job

Overview

Insurance Verification Specialist

Physician Partners of America (PPOA) is an established and growing multidisciplinary integrated healthcare organization. We have multiple locations in both Texas and Florida with our corporate headquarters in Tampa, FL.

We are looking for an experienced Insurance Verifications Specialist to join our clinical authorizations team. By just doing what you do best, you will help patients receive better care and reach better outcomes at PPOA.

Responsibilities

  • Verifying insurance information on new and follow-up patients and making corrections / updates information in system
  • Clearly communicating to the patient when a referral is required and is knowledgeable in determining when a patient visit requires a referral
  • Informing patient to contact their primary care physician to obtain referral prior to the patient visit or instruct patient to bring referral at time of appointment
  • Completing insurance verification on each patient and calling patient back if unable to obtain verification with insurance carrier
  • Working independently while maintaining confidentiality
  • Obtaining authorization and pre-certifications for date of service
  • Must have experience with Electronic Health Record (EHR)
  • Educating clinicians on scheduling protocol and guidelines

Qualifications

  • High School Graduate
  • 3+ years medical authorization experience
  • Previous years experience in pain management clinics within an out of network environment
  • High degree of professionalism and confidentiality
  • Ability to multi-task while producing accurate work
  • Prior experience with HMO, PPO, Commercial, Medicare insurances including out of network providers
  • Excellent Customer Service