Medical Insurance Verification Specialist
Hudson Medical Group, United States
Job Description
Are you ready to be part of our team of superstars? We are looking for a passionate Medical Insurance Verification Specialist to join our growing Medical team at Hudson Medical + Wellness.
ABOUT Hudson Medical + Wellness
Hudson Medical + Wellness is your one-stop shop to healthy living. In 2010, we opened a health and wellness practice with the goal of revolutionizing healthcare. Since opening, we have worked towards that goal by building a team of dedicated board-certified doctors and wellness providers in 10+ diverse specialties our innovative integrative approach to health and wellness is transforming our patients’ lives for the better. Our fellowship-trained medical doctors and Wellness providers work together to create a personalized and comprehensive treatment plans. We are dedicated to treating acute and chronic pain, as well as a variety of other health conditions.
We have an office in Tribeca and a state-of-the-art facility in the West Village, where we are expanding our functional and regenerative medicine programs. Hudson Medical + Wellness is full of opportunity, excitement, strong minds, and great people. If you’re looking for a collaborative, creative environment where you can make a difference in the lives of others, you’ll fit right in. Come and be part of a young and dynamic team that has a revolutionary approach to health and wellness.
Medical Authorization Specialist Position
Hudson Medical is actively seeking a dedicated and detailed Medical Authorization Specialist. S/He will be responsible for monitoring orders, preparing the appropriate forms and gathering supporting documentations needed to complete the authorization process in a timely manner.
Requirements
Hudson Medical is actively seeking a dedicated and detailed Medical Insurance Verification Specialist. The candidate ensures accurate insurance eligibility checking, in addition insurance coverage and benefits information will be obtained and documented in a timely manner.
Responsibilities
- Responsible for obtaining and documenting insurance eligibility, coverage and benefits
- Accurately completing patient demographics and insurance information
- Coordinating with insurance carriers to confirm all required information are current
- Maintaining open communication with the clinical staff during the entire eligibility process and providing timely updates from insurance carriers
- Communicating with clinical staff of any changes in insurance coverage and benefits
- Acts as a liaison between the practice and insurance companies, patients, and third-party representatives in regards to insurance coverage and benefits
- Assist in obtaining referrals
- Assist patients or responsible parties with coordination of benefit issues
Desired Skills and Experience
- Strong leadership skills, attention to detail, and excellent communication skills
- Competence in EMR Athena Health, Microsoft Word and Excel
- Ability to handle stressful situation with tact and professionalism
- Ability to communicate effectively, both orally and in writing
- Demonstrate logical reasoning and critical thinking skills
- Detail oriented with highly organized work skills
- Works well with others in the spirit of teamwork and cooperation
- Experience working with insurance companies, including Medicare, Medicaid and Medicare Advantage Plans, Medicaid, Commercial Plans, Workers Compensation, and MVA
- Knowledge of In-network amp; Out-of-network insurance coverage and policies
- Knowledge of insurance medical benefits and utilization guidelines
- Secondary language is a plus (Spanish, Mandarin, Cantonese)
- Minimum of two years’ experience in insurance eligibility, coverage and benefits verification
Education and Certification
- Graduate with a BA/BS degree
- 2 5 years of experience in a medical practice or hospitality
The position requires network/internet access as 80% of the time, you will be working remotely. You will be required to report to the office during your training period.
Adheres to company policy and procedures; performs duties as workload necessities; maintains a positive and respectful attitude; communicates regularly with the director about department issues; demonstrate flexible and efficient time management and ability to prioritize workload; consistently reports to work on time prepared to perform duties of position; meets department productivity standards.
We hope we sparked your interest. If you are ready to apply, please send your resume and application to . We look forward to receiving your application.