Insurance Verification Specialist at Sterling Ridge Orthopaedics and Sports Medicine

, Texas, United States -

Full Time

Start Date

Immediate

Expiry Date

03 May, 26

Salary

0.0

Posted On

03 Feb, 26

Experience

2 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Verification, Authorizations, Surgery Authorizations, VISCO Injections, Physical Therapy, Occupational Therapy, DME, MRI Insurance, Benefits Obtaining, Referral Verifications, HIPAA Compliance, OSHA Compliance, Athena EMR, ICD-10 Coding, Patient Scheduling

Industry

Wellness and Fitness Services

Description

Description We are looking for a full-time Insurance Verification Specialist to join our top notch team of professionals! Position will be remote with the possibility of coming in to the office once a week. 20639 Kuykendahl Rd Suite 200 Spring, TX 77379 Hours: Monday - Friday 8:00 AM - 5:00 PM or 8:30 AM to 5:30 PM, with rotating Saturdays (every 8-10 weeks) Job Summary: Responsible for all aspects of insurance verification and authorizations including Surgery Authorizations, VISCO injections, Physical Therapy, Occupational, DME and MRI insurance obtaining benefits, getting authorizations, and scheduling patients. Responsible for confirming referral verifications. Essential Duties: Responds promptly to patient and staff needs. Verify insurance eligibility, benefits, and pre-authorization/pre-certification via telephone and internet. Initiate the process of obtaining prior authorization, if required, to maximize the opportunity for reimbursement. Update patient information as needed in Athena. Participates in facility committees, meetings, in-services, and activities. Compliant with HIPAA, OSHA, state and federal regulation, and company policies and procedures. Perform other miscellaneous office/clerical duties as needed. Education and Qualifications: High School Diploma or GED certificate. Graduate of a certified medical office training course preferred Basic knowledge of ICD-10 coding 2 years’ experience insurance verification process required. Knowledge of EMRs, Athena preferred. This is not a full job descriptions. We are an equal opportunity employer and value diversity at our company. We do not discriminate on the basis of race, religion, color, national origin, gender, sexual orientation, age, marital status, veteran status, or disability status.

Responsibilities

The specialist is responsible for all aspects of insurance verification and authorizations, including obtaining benefits, securing authorizations for services like surgery and injections, and scheduling patients. Essential duties involve promptly responding to needs, verifying eligibility and benefits via phone and internet, and initiating prior authorization processes to maximize reimbursement.