Insurance Verifier

at  Steward Health Care

Are you looking for an exciting, professional career with a company that treats each individual with dignity and respect? We take pride in our work and organization, knowing that we each make a difference in the lives of our patients every day!
Hawthorn Medical Associates is looking for an enthusiastic, dedicated Insurance Verifier.

The successful candidate will:

• Verify insurance benefits and obtain prior authorization for patient exams being performed at Hawthorn Medical/SMG.
• Record all insurance benefits and certification information in the applicable computer system. Complete and distribute all paperwork required by the insurance and imaging departments.
• Gather all necessary information from secretaries to obtain pre-authorizations and pre-certifications as stipulated by each individual health plan for Diagnostic Imaging services and communicate with scheduling when additional information is required.

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• Interface on a daily basis with insurance carriers, individual insurance provider authorizers, medical groups, and scheduling coordinators to maximize efficiency.
• Follow company/department policies and procedures as well as compliance standards.
• Notifies management staff when problems arise.
• Provide scheduling services, maintains communication with the ordering physicians and their secretaries to schedule patients for a variety of imaging procedures.
• Be knowledgeable regarding the appropriate exam preparation, appointment arrival time and contraindications. Able to communicate these instructions to both the scheduling secretaries and the patients that may call directly.
• Utilize payer websites to determine eligibility and benefit determination to ensure radiology exams are covered and to prevent denials.

Qualifications:
A high school diploma or equivalent required, an associate’s degree or secretarial certificate preferred. Minimum of 2–4 years’ experience in a medical office setting required; medical terminology and computer skills preferred.
Excellent customer service /communication skills.
Detailed knowledge of third party payer requirements for authorization requirements to facilitate payment for imaging services.
Familiar with medical terminology, ICD-10 coding and CPT procedure codes preferred
The ability to process multiple tasks in an ever-changing environment and prioritize workload effectively. Must be able to function independently.
We offer:
Competitive compensation and benefits programs, educational reimbursement and more!
Convenient South coast location, convenient to I-195, free parking
Hawthorn Medical Associates, an affiliate of Steward Health Care, was established in 1970 and is the largest multi-specialty group practice in the Greater New Bedford area. We have many of the area’s finest physicians who practice in our state-of-the-art facilities in a campus-like setting. They are supported by a skilled professional support staff, and together provide high quality, comprehensive medical care to more than 138,000 patients each year.
For more information, visit steward.org
Location: Steward Medical Group · 1107.72070 Hawthorn Business Office
Schedule: Full Time, Day Shift, M-

Please refer the Job description for details