Insurance verification/ Prior Auth specialist Job at Surgical Specialists Group of Michigan, Saint Clair Shores, MI

R014MGxBRWN2SmFLSUFQcjBsdU9HVy9RU0E9PQ==
  • Surgical Specialists Group of Michigan
  • Saint Clair Shores, MI

Job Description

Job Description

Job Description

Description:

We are seeking an Insurance Verification Specialist to assist with verifying benefits and coverage for office visits and surgical procedures. Duties will include obtaining referrals and authorizations prior to the service, verifying insurances at least 1-2 weeks in advance prior to service and ensuring any last-minute services have been authorized and creating clinic schedules. They will also need to obtain pre-authorization from insurance carriers in a timely manner, review denials and follow up with provider to obtain medically necessary information to submit an appeal, and prioritize the incoming authorizations by level of urgency. Candidates must be proficient with using the various payor sites for verification, must have at least one year of experience with insurance verification for Medicaid, Medicare, and most commercial plans.

Compensation will vary based on experience and skills.

Working hours: M-F 8:30-5pm (no weekends, no holidays)
Work setting: in-office only, remote work is not offered.
Looking for full time 40 hours/ week- could possibly consider part time but of minimum of 32 hours per week.

Benefits with Full time status: Medical, Dental, and Vision benefits; Paid PTO and sick time.

Requirements:

Education:

  • High school or equivalent (Required)

Experience:

  • Insurance Verification: 1 year (Required)
  • Prior Authorization: 1 year (Required)
  • Medical terminology: 1 year (Required)
  • Computer skills: 1 year (Required)

Language:

  • Arabic (Preferred, not required)

Ability to Relocate:

  • Saint Clair Shores, MI 48081: Relocate before starting work (Required)

Willingness to travel:

  • not required.

Work Location: In person

Job Tags

Full time, Part time, Work at office, Remote work, Relocation,

Similar Jobs

US Foods, Inc.

CDL A Delivery Truck Driver - Hiring Immediately Job at US Foods, Inc.

 ...! $10,000 RETENTION BONUS! CDL A Delivery Drivers start at$28.80/hour!(annual increases...  ...between 3 AM 5 AM Benefits include medical, dental, vision, 401K, life insurance...  ...Perform all pre-trip and post-trip equipment inspection Physical Requirements... 

Essentia Health

Registered Nurse (RN) - Acute Care/OB - PRN Job at Essentia Health

Job Description: Responsible for organizing and providing nursing care to patients through the process of assessment, planning, intervention, and evaluation. Delegates aspects of care to other nursing personnel based upon their licensure, preparation and job descriptions...

SpecialCase

Junior Data Analyst (Remote) Job at SpecialCase

`As the Data Analyst for the Security Analytics & Innovation team you will help in the development...  ...problem-solving activities. This is an entry level role requiring the individual to have...  ...two years of Administrative support experience OR Equivalent education/experience.... 

black.ai

Revenue Accounting Manager, Online Sales (San Francisco) Job at black.ai

 ...About the Group/Team As Canva continues to rapidly grow and expand its product offerings, the Revenue Accounting function plays a critical role in managing and navigating the increasing complexities of revenue accounting, systems and operations. The Revenue Accounting... 

Sunshine Recruiting

Class A Entry Level Shuttle Driver 4 day work week. Days Local. Will take right out of school. $720 a week Job at Sunshine Recruiting

Class A Entry Level Shuttle Driver 4 day work week. Days Local. Will take right out of school. $720 a week No experience required. Must have...  ...: (***) ***-**** Tell em' Gary's Job Board sent you.This truck driving job may have an alternate application method. Look...