Physician Partners of America

  • Insurance Verification Specialist

    Job Locations US-FL-Tampa
    Job ID
    2018-1598
    Category
    Healthcare & Medical
    Type
    Full-Time
  • Overview

    Insurance Verification Specialist

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

    We are looking for an experienced Insurance Verification Specialist to join our revenue cycle team in providing a better patient care experience. By simply doing what you do best, you can help patients reach better outcomes at PPOA.

    Responsibilities

    • Verify insurance information on new and follow-up patients and making corrections / updates information in system
    • Clearly communicate to the patient when a referral is required and is knowledgeable in determining when a patient visit requires a referral
    • Inform patient to contact their primary care physician to obtain referral prior to the patient visit or instructing patient to bring referral at time of appointment
    • Complete insurance verification on each patient and call patient back if unable to obtain verification with insurance carrier
    • Work independently while maintaining confidentiality
    • Obtain authorization and pre-certifications for date of service
    • Educate clinicians on scheduling protocol and guidelines

    Qualifications

    • 3+ years medical authorization experience
    • Medical Terminology preferred
    • ICD 10 and CPT code knowledge
    • Previous years experience in an out of network environment
    • Professional, courteous, and respectful of confidentiality
    • Ability to multi-task while producing accurate work
    • Prior experience with HMO, PPO, Commercial, Medicare insurances and Electronic Health Records
    • Familiar with medical clearances as they relate to surgical patients
    • Excellent Customer Service

    PPOA celebrates and supports diversity and is proud to be an Equal Opportunity Employer. PPOA performs criminal background checks and pre-employment drug screens.

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