Insurance Verification Specialist - Spanish Speaking

USA Clinics Group is a nationwide network of outpatient clinics specializing in vein, fibroid, vascular, and prostate care, offering minimally invasive treatments close to home.

• Location:
  
  Northbrook, IL
• Schedule:
  
  Full-Time, Monday-Friday (on-site)
• Compensation: $23-$26 per hour based on experience and qualifications

• Review referring physician and patient documentation for medical necessity against insurance protocol requirements for pre-certification purposes
• Actively communicate with staff regarding status of authorizations and manage reschedule or cancellation when authorization is not in hand
• Liaise with offices and patients regarding new, changed, or pending insurance authorizations, providing ongoing education about changes in requirements
• Schedule STAT, emergent patients for outpatient diagnostic exams
• Interact with patients, representatives, physicians, and office staff to collect and verify accurate demographic, billing, and clinical information
• Produce and distribute required forms with accurate patient information
• Respect and protect patient confidentiality and privacy, disclosing information only for professional purposes in the patient's best interest
• Display a positive attitude when interacting with provider office staff, providers, and colleagues
• Perform additional duties as assigned

• High school graduate required; advanced education preferred
• At least 2 years of prior experience in a healthcare setting handling benefit verification and prior authorizations
• Billing and coding or other related certifications preferred
• Strong computer and typing skills
• Immaculate attention to detail and excellent proofreading skills
• Excellent customer service skills
• Strong data entry skills
• Excellent organizational skills

• Health insurance (medical, dental, vision)
• Retirement plan
• Paid time off (vacation and sick)