USA Vein Clinics
Insurance Verification and Prior Authorization Specialist
USA Vein Clinics, Northbrook, Illinois, us, 60065
Insurance Verification/ Prior Authorization Specialist
Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, USA Clinics Group has grown into the nation's largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home. We're building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we're even more excited about what's ahead, and the team we're building to get there. We look forward to meeting you! Rapid career advancement Competitive compensation package Positive, team-oriented environment Work with cutting-edge technology Make a real impact on patients' lives Join a fast-growing, mission-driven company USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist. This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics. Responsibilities: 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 Work on 20+ denials per day, investigating and finding solutions in a timely manner 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 Location: Northbrook corporate office (not remote) Full time Compensation: $22-$30/hr
Founded by Harvard-trained physicians with a vision of offering patient-first care beyond the hospital settings, USA Clinics Group has grown into the nation's largest network of outpatient vein, fibroid, vascular, and prostate centers, with 170+ clinics across the country. Our mission is simple: deliver life-changing, minimally invasive care, close to home. We're building a culture where innovation, compassion, and accountability thrive. While proud of our growth, we're even more excited about what's ahead, and the team we're building to get there. We look forward to meeting you! Rapid career advancement Competitive compensation package Positive, team-oriented environment Work with cutting-edge technology Make a real impact on patients' lives Join a fast-growing, mission-driven company USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist. This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics. Responsibilities: 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 Work on 20+ denials per day, investigating and finding solutions in a timely manner 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 Location: Northbrook corporate office (not remote) Full time Compensation: $22-$30/hr