Insurance Verification & Authorization Specialist

Insurance Verification & Authorization SpecialistThe Insurance Verification Specialist is responsible for verifying patient insurance coverage and obtaining required authorizations for patient orders. This role ensures accurate insurance information, timely approvals, while reducing denials and improving revenue.Key ResponsibilitiesVerify patient insurance eligibility, benefits, and coverage detailsObtain prior authorizations for patient ordersCommunicate with insurance companies to confirm coverage and authorization statusWork closely with staff to resolve insurance issuesDocument verification and authorization details accurately in the systemFollow up on pending authorizations to ensure timely approvalWork DetailsEmployment type: Full-time in officeSchedule: Monday–FridayLocation: Yardley, PARequirementsDesired Minimum QualificationsExperience with insurance verification, prior authorizations, or medical billingKnowledge of medical insurance plans, including Medicare, Medicaid, Managed care and Commercial payersStrong attention to detail and organizational skillsAbility to communicate clearly with insurance representatives and internal teamsProficiency in HCPC coding, ICD-10 coding, and allowable.Proficient in computer systems, including advanced knowledge of medical billing software applications.