Insurance Verification Specialist

Position Details

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

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going education of changes in authorization requirements.
• Responsible for scheduling STAT, emergent patients for outpatient diagnostic exams.
• Interacts with patients, their representatives, physicians, physician office staff, and others to gather and ensure accuracy of demographic, billing and clinical information.
• Produces and distributes required forms with accurate patient information.
• Respects and protects the patient’s rights to confidentiality and privacy and discloses information only for the professional purposes which are in the patient’s best interests with full consideration of their legal rights.
• Displays a positive attitude when interacting with provider’s office staff, providers and fellow employees.
• Performs additional duties as assigned.

• High school graduate required. Advanced education preferred.
• At least 2 years of prior experience in a health care setting handling benefit verification and prior authorizations, required.
• Billing and Coding or other related certifications a plus.
• Strong computer skills and excellent 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 (PTO) (vacation, sick)