Job Description
Job Title: Insurance Verification Specialist Department: Billing Position Summary: Responsible for insurance verification, precertification and preauthorizations. Duties and Responsibilities Include but are not limited to: Assists with the verification of insurance benefits, eligibility, co-pay and deductibles. Precertification/preauthorization of indicated studies. Ensures that all precertifications/preauthorizations are done in advance, before the patient is scheduled for the studies indicate…
7:00 AM
Review the surgical and procedure schedule for the next 48–72 hours. Every case that requires authorization needs to be cleared be…
7:30 AM
Pull the PA worklist. Filter by date of service — cases with the earliest service dates get worked first. High-cost procedures (su…
8:30 AM
Submit PA requests to payers. Each payer has its own portal, its own forms, its own documentation requirements. You know them all…
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