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BayCare Clinic · 2 months ago

Pre-verification Specialist

Green Bay, WI

Part-time

Onsite

Entry Level

2+ years exp

BayCare Clinic is a physician-owned entity focused on providing superior specialty medical services. They are seeking a Pre-Verification Specialist who will be responsible for obtaining prior authorizations for various medical procedures and ensuring patient insurance information is accurate and up-to-date.

Health CareHospitalMedical

Responsibilities

Using appropriate methods, obtains prior authorizations for diagnostic studies, procedures, surgeries, and testing as required by each particular insurance company including Worker’s Compensation

Verifies patient status through use of websites and phone calls to insurance carriers as necessary

Reviews specific coverage policies for individual insurance companies to ensure that requirements are met

Updates patient-specific insurance information as necessary in appropriate systems

Assists clinic staff and patients who have miscellaneous insurance information questions

Documents appropriate and accurate information in electronic record systems

Documents prior authorizations in electronic record

Respects and maintains confidentiality

Works in a safe, compliant and ethical manner at all times

Qualification

Insurance verification processMedical terminologyEpic ExperienceInsurance AuthorizationsComputer skillsOrganizational skillsInterpersonal skillsCommunication skills