Infor
Authorization & Insurance Verification Specialist - Requisition #276024
Infor, Marshall, Michigan, United States, 49068
All CDC recommended vaccines are required vaccinations at Oaklawn. Seasonally, and upon determination of Senior leadership, the Influenza Vaccine may be mandatory; in those years, compliance is required. For all vaccines, Religious Exemptions and Medical Contraindications are available.
Authorization & Insurance Verification Specialist Job Summary:
Provides accurate and timely insurance verification of eligibility and benefits.
Essential Functions:
Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
Provides accurate and timely insurance verification for ancillary, surgical, inpatient, and observation services.
Obtains benefit and any required pre-authorization and/or notification information for all services verified.
Follows appropriate point of service collection and notification processes.
Verifies insurance for multiple departments as assigned and obtain the authorization if needed.
Demonstrates accuracy in gathering information and inputting data in all phases of insurance verification and the updating process.
Calculates estimated point of service amounts
Minimum Qualifications:
18 years of age. Two (2) years’ experience related to healthcare insurance verification and/or billing.
Knowledge, Skills & Abilities:
Knowledge of clinical and medical terminology; computer skills. Strong verbal communication, interpersonal, organizational, customer service, and critical thinking skills. Ability to problem solve, handle conflict and adapt to frequent change. Ability to interpret insurance records and related documentation.
Working Conditions:
Work is generally performed within an office environment, with standard office equipment available.
Physical Requirements:
Constantly sit, see/visual acuity, handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.
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Authorization & Insurance Verification Specialist Job Summary:
Provides accurate and timely insurance verification of eligibility and benefits.
Essential Functions:
Consistently uses an outward mindset and puts forth exemplary effort in accomplishing his/her goals and objectives in a manner that helps others to achieve their goals and objectives.
Provides accurate and timely insurance verification for ancillary, surgical, inpatient, and observation services.
Obtains benefit and any required pre-authorization and/or notification information for all services verified.
Follows appropriate point of service collection and notification processes.
Verifies insurance for multiple departments as assigned and obtain the authorization if needed.
Demonstrates accuracy in gathering information and inputting data in all phases of insurance verification and the updating process.
Calculates estimated point of service amounts
Minimum Qualifications:
18 years of age. Two (2) years’ experience related to healthcare insurance verification and/or billing.
Knowledge, Skills & Abilities:
Knowledge of clinical and medical terminology; computer skills. Strong verbal communication, interpersonal, organizational, customer service, and critical thinking skills. Ability to problem solve, handle conflict and adapt to frequent change. Ability to interpret insurance records and related documentation.
Working Conditions:
Work is generally performed within an office environment, with standard office equipment available.
Physical Requirements:
Constantly sit, see/visual acuity, handle/grasp/feel, talk/hear. Occasionally lift/carry 1 to 25 lbs.
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