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Job description
Medical Authorization & Insurance Verification SpecialistShelton, CT (On-Site) Monday–Friday | 8:30 AM–5:00 PM $19 Up to $22.00/hour based on relevant experienceExpress Employment Professionals is recruiting a Medical Admin / Authorization & Account Verification Specialist for a healthcare organization in the Shelton, CT area.We are interested in candidates with experience in medical administration, insurance verification, prior authorizations, patient accounts or healthcare office support. We will also consider strong administrative professionals with excellent computer, data-entry, customer service and organizational skills who are interested in learning the healthcare authorization process.Training may be available for candidates with strong transferable administrative skills. Starting pay may vary based on relevant experience.ResponsibilitiesReview medical orders and referrals for accurate patient demographics, insurance information, CPT codes and clinical documentationVerify insurance eligibility and benefitsDetermine prior authorization requirements for medical servicesInitiate, track and validate insurance authorizations according to payer guidelinesConfirm accuracy of authorizations received from referring provider officesAccurately document authorization activity and communications in patient recordsCommunicate authorization status, issues and denials with providers, staff, insurance payers and patientsEnsure information is accurately entered and maintained within patient accountsFollow insurance payer policies, authorization timelines and established workflowsMaintain patient confidentiality and follow HIPAA requirementsProvide professional, patient-focused customer serviceResearch and help resolve authorization, insurance and account-related issuesQualificationsExperienced healthcare administrative candidates AND strong administrative candidates with transferable skills are encouraged to apply.Relevant experience and skills may include:Prior authorization or insurance verificationMedical office or healthcare administrationPatient accounts or medical billingMedical terminology, ICD-10 and CPT codesEPIC or other Electronic Medical Record (EMR) systemsAdministrative or office support experienceStrong computer and data-entry skillsHigh-volume customer serviceManaging detailed records and documentationAbility to multitask in a fast-paced officeStrong organizational and problem-solving skillsExcellent attention to detail and accuracyProfessional phone and written communication skillsHigh school diploma or GED required. Previous healthcare administrative experience is preferred; however, candidates with a strong administrative background and demonstrated ability to learn new systems and processes may also be considered.Schedule & PayMonday–Friday 8:30 AM–5:00 PM (On Site) $19 Up to $22.00 per hour based on relevant experience.Candidates with experience as a Prior Authorization Specialist, Insurance Verification Specialist, Medical Administrative Assistant, Patient Account Representative, Medical Billing Specialist, Administrative Assistant or Healthcare Customer Service Representative may have transferable skills for this opportunity.If you're an experienced medical administrative professional—or a strong administrative candidate interested in expanding your skills into healthcare and insurance authorization—we'd like to hear from you.
Worksite address
shelton, CT, 06484, US
Who can apply
Review the original listing for work authorization, qualifications and employer requirements.