Hiring Insurance/Verification Specialist @247Hire

Role Description This role involves verifying insurance eligibility and benefits for services, ensuring compliance with payor requirements, and communicating financial responsibilities to patients. Verifies insurance eligibility and benefits for scheduled and unscheduled services Calculates and communicates the patients estimated financial responsibility for scheduled services Identifies and ensures authorization and referral requirements are met in accordance with payor guidelines Validates and documents all authorizations and referrals according to established policies Reviews and determines the medical necessity of scheduled services based on payor criteria Accurately documents and maintains all required records and communications in compliance with organizational standards Communicates effectively and professionally with patients, physicians, and medical office staff to resolve inquiries Educates patients on insurance coverage, benefits, and financial responsibility Processes and indexes incoming orders promptly and ensures compliance with documentation standards Provides timely notification of admission or observation status per payor guidelines for inpatient and observation services Performs other duties as assigned Complies with all policies and standards Company Description Apply To this Job Company : 247Hire Salary : Work from home