Insurance Verification Specialist

Job Summary

A company is looking for an Insurance Verification Specialist to manage insurance information and prior authorization processes.

Key Responsibilities

• Obtain and verify insurance eligibility and document information in the system
• Perform prior authorizations and collect necessary clinical information
• Handle inbound calls and resolve claim rejections related to eligibility and coverage

Required Qualifications

• High school diploma with 1+ years of medical billing or insurance verification experience
• Bachelor's degree in a related field can substitute for experience
• Preferred experience with payors and prior authorization
• Highly preferred experience with Medicare Part D