VSI | Spine Solutions
Insurance Authorization Specialist
VSI | Spine Solutions, Reston, Virginia, United States, 22090
Overview
Insurance Authorization Specialist
role at
VSI | Spine Solutions . VSI (formerly the Virginia Spine Institute) is the leading multidisciplinary spinal healthcare practice in the Washington D.C. metropolitan area. This role is responsible for obtaining prior authorization for various medical procedures, services, and medications. This is a full-time position working out of our Reston office. The position offers competitive pay, full benefits, 401k plan with a company match, and three weeks of paid time off. The ideal candidate will have exceptional customer service skills and phone etiquette.
2 weeks ago • Be among the first 25 applicants
Responsibilities
Facilitate prior authorization for a variety of services (surgery, injections, medications, imaging, etc.) in a timely manner and work efficiently to obtain final approval.
Ensure all pertinent medical documentation is accurate and complete prior to authorization submission.
Coordinate with workers' compensation case managers to streamline authorizations for care.
Track and monitor prior authorization status throughout the insurance approval process.
Utilize a thorough working knowledge of insurance plans and medical policies to complete prior authorization requirements.
Coordinate with clinical staff during the prior authorization process to notify of approvals and denials, and facilitate appeals and peer-to-peer reviews with the payer.
Be responsible for insurance benefits verification.
Work directly with the Director of Billing to identify trends in denials and opportunities for improvement in the authorization process.
Provide superior customer service when communicating with patients to resolve inquiries regarding insurance authorization requirements.
Qualifications
Bachelor's degree in business or related field
1-3 years of billing or authorization experience in the healthcare industry
Familiarity with navigating the appeals process with insurances and external agencies
Solution-oriented problem solver with strong organizational skills
Strong multitasking ability; detail oriented
Proficient with oral and written communication; articulate, professional and friendly
Employment details
Employment type: Full-time
Seniority level: Entry level
Location: Reston, VA (office-based)
Referrals increase your chances of interviewing at VSI | Spine Solutions.
#J-18808-Ljbffr
role at
VSI | Spine Solutions . VSI (formerly the Virginia Spine Institute) is the leading multidisciplinary spinal healthcare practice in the Washington D.C. metropolitan area. This role is responsible for obtaining prior authorization for various medical procedures, services, and medications. This is a full-time position working out of our Reston office. The position offers competitive pay, full benefits, 401k plan with a company match, and three weeks of paid time off. The ideal candidate will have exceptional customer service skills and phone etiquette.
2 weeks ago • Be among the first 25 applicants
Responsibilities
Facilitate prior authorization for a variety of services (surgery, injections, medications, imaging, etc.) in a timely manner and work efficiently to obtain final approval.
Ensure all pertinent medical documentation is accurate and complete prior to authorization submission.
Coordinate with workers' compensation case managers to streamline authorizations for care.
Track and monitor prior authorization status throughout the insurance approval process.
Utilize a thorough working knowledge of insurance plans and medical policies to complete prior authorization requirements.
Coordinate with clinical staff during the prior authorization process to notify of approvals and denials, and facilitate appeals and peer-to-peer reviews with the payer.
Be responsible for insurance benefits verification.
Work directly with the Director of Billing to identify trends in denials and opportunities for improvement in the authorization process.
Provide superior customer service when communicating with patients to resolve inquiries regarding insurance authorization requirements.
Qualifications
Bachelor's degree in business or related field
1-3 years of billing or authorization experience in the healthcare industry
Familiarity with navigating the appeals process with insurances and external agencies
Solution-oriented problem solver with strong organizational skills
Strong multitasking ability; detail oriented
Proficient with oral and written communication; articulate, professional and friendly
Employment details
Employment type: Full-time
Seniority level: Entry level
Location: Reston, VA (office-based)
Referrals increase your chances of interviewing at VSI | Spine Solutions.
#J-18808-Ljbffr