Job Description

Key Responsibilities:

Perform comprehensive insurance verifications for new and existing patients, including coverage levels, co-pays, deductibles, exclusions, and authorization requirements. Manage and complete prior authorization requests for services, procedures, and medications, including follow-ups and appeals. Review and resolve escalated or complex cases requiring advanced problem-solving or payer-specific knowledge. Maintain detailed documentation in EMR and billing systems with a high level of accuracy. Serve as a resource and mentor for other VOB/PA associates; provide training and support as needed. Monitor payer updates and ensure internal processes comply with the latest payer rules and policies. Communicate effectively with healthcare providers, patients, and insurance representatives.
Job Type: Full-time

Pay: ?20,000.00 - ?35,000.00 per month

Schedule:

US shift
Work Location: In person

Expected Start Date: 02/06/2025