Medical Insurance and Authorization Specialist
USA Clinics Group
Northbrook, illinois
USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.
Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.
- Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes
- Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand
- Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as...