Insurance Authorization Representative

HealthCare Support Staffing, Inc. (HSS), is a proven industry-leading national healthcare recruiting and staffing firm. HSS has a proven history of placing talented healthcare professionals in clinical and non-clinical positions with some of the largest and most prestigious healthcare facilities including: Fortune 100 Health Plans, Mail Order Pharmacies, Medical Billing Centers, Hospitals, Laboratories, Surgery Centers, Private Practices, and many other healthcare facilities throughout the United States. HealthCare Support Staffing maintains strong relationships with top providers in healthcare and can assure healthcare professionals they will receive fast access to great career opportunities that best fit their expertise. Connect with one of our Professional Recruiting Consultants today to see how a conversation can turn into a long-lasting and rewarding career!

POSITION SUMMARY:

Assists Insurance Processor II’s and Supervisor with completion of verifications and prior authorizations of DME coverage, evaluates portion to be paid by customer, and performs other Insurance related assignments as directed.

ESSENTIAL FUNCTIONS:

• Handles activities related to verification of insurance benefits for customers.
• Notifies customer of any deductible and/or coinsurance due.
• Completes financial assistance applications, if appropriate.
• Contacts customer directly when necessary to obtain additional information.
• Contacts Primary Care Physicians with regard to referral information.
• Complies pre-certification information and forwards to insurance company to establish medical necessity and prior approval.
• Performs regular follow-up calls with insurance companies checking status of prior authorization request.  Submits additional documentation, if required.
• Reviews denials and follows up according to standard procedures.  Researches other payment options with customer, when appropriate.
• Answers phones for Insurance Skill.
• Promote and maintain teamwork with internal and external Hoveround associates and Health Plans.
• Participates in training sessions as requested.
• Maintains confidentiality of all records.
• Works minimum 40-hour work week with required overtime as business needs dictate.

• 2 years of Medical Authorization, verifications and Pre-certifications experience (major insurances/commercial insurance)

Hours for this Position:

 M-F 9:30am-6:00pm 

Advantages of this Opportunity:

• Competitive salary $14 - $16 per hr.
• Excellent Medical benefits Offered, Medical, Dental, Vision, 401k, and PTO
• Growth potential
• Fun and positive work environment