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Insurance Verification & Authorization Specialist

Lawall
  • Pennsylvania
    30+ days ago

    Job Description

    Insurance Verification & Authorization Specialist
     
    We are seeking a professional, dependable, and customer-focused individual who enjoys working in a friendly, team-oriented environment. The Insurance Verification & Authorization Specialist serves as the first point of contact for our patients, referral sources, and visitors. As an Insurance Verification Specialist, you will play a critical role in ensuring patients receive timely access to prosthetic and orthotic services by verifying insurance benefits and securing necessary authorizations. The Insurance Verification & Authorization Specialistreports directly to the Patient Accounts Supervisor and plays a vital role in ensuring an exceptional patient experience.
     
    Work Schedule: Monday - Friday, 8- 4:30 pm 
     
    Key Responsibilities
    • Verify patient insurance eligibility, benefits, and coverage information.
    • Obtain prior authorizations for prosthetic and orthotic services.
    • Contact insurance companies to confirm coverage, authorization requirements, and claim status.
    • Collaborate with clinicians, patient service staff, and billing teams to resolve insurance-related issues.
    • Accurately document insurance verification and authorization information within company systems.
    • Monitor and follow up on pending authorizations to minimize delays in patient care.
    • Maintain knowledge of payer policies and documentation requirements.
    • Ensure compliance with company policies, payer guidelines, and HIPAA regulations.
    What We're Looking For
    • Experience with insurance verification, prior authorizations, medical billing, or healthcare reimbursement.
    • Working knowledge of Medicare, Medicaid, Managed Care, and Commercial insurance plans.
    • Understanding of HCPCS coding, ICD-10 coding, and payer allowable guidelines.
    • Strong organizational skills with exceptional attention to detail.
    • Excellent verbal and written communication skills.
    • Ability to manage multiple priorities in a fast-paced environment.
    • Proficiency with medical billing software and Microsoft Office applications.
    Why Join Lawall?
    At Lawall, our employees make a meaningful impact every day by helping patients regain mobility and improve their quality of life. We offer:
    • Stable Monday–Friday schedule
    • Supportive and collaborative team environment
    • Opportunities for professional growth and development
    • Competitive pay and comprehensive benefits package
    • The opportunity to make a difference in patients' lives
    If you're looking for a rewarding career where your work truly impacts the lives of others, we'd love to hear from you!
     
    Lawall Prosthetic & Orthotic Services is an Equal Opportunity Employer.
     
    This is a drug-free workplace. Employment offers are contingent upon successfully passing a pre-employment drug screening and background check.

    Numbers & Facts

    LocationPennsylvania
    Websitehttps://www.lawall.com

    Skills

    • Billingunmatched
    • Billing Softwareunmatched
    • Communication Skillsunmatched
    • Corporate Policiesunmatched
    • Customer Relationsunmatched
    • Detail Orientedunmatched
    • Documentationunmatched
    • HIPAA (Health Insurance Portability and Accountability Act)unmatched
    • Healthcare Common Procedure Coding System (HCPCS)unmatched
    • Healthcare Reimbursementunmatched
    • Healthcare Softwareunmatched
    • ICD-10unmatched
    • Information Technology & Information Systemsunmatched
    • Insuranceunmatched
    • Insurance Documentationunmatched
    • Maintain Complianceunmatched
    • Managed Careunmatched
    • Medicaidunmatched
    • Medical Billingunmatched
    • Medicareunmatched
    • Microsoft Officeunmatched
    • Multitaskingunmatched
    • Organizational Skillsunmatched
    • Orthoticsunmatched
    • Patient Careunmatched
    • Patient Care Authorizationsunmatched
    • Presentation/Verbal Skillsunmatched
    • Prostheticsunmatched
    • Quality of Lifeunmatched
    • Regulationsunmatched
    • Team Playerunmatched
    • Time Managementunmatched
    • Writing Skillsunmatched

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