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Insurance Verification/Pre-Authorization Specialist Job

Eingestellt von Yoh

Gesuchte Skills: Client

Projektbeschreibung

INSURANCE VERIFICATION/PRE- AUTHORIZATION SPECIALIST needed for a CONTRACT opportunity with Yoh's client located in PARSIPPANY, NEW JERSEY.

TOP SKILLS YOU SHOULD POSSESS:

- Insurance verification
- Customer service skills
- Analytical skills

WHAT YOU'LL BE DOING:

- Responsible for the day-to-day processes to verify patient eligibility and benefits (insurance verification) as well as providing preauthorization services for products.
- Communicate daily with HCP's and commercial payers.
- Keep appropriate documentation and inform other members of the team of issues and trends as identified with payers.
- Manage requests for insurance verification and benefits determination for patients receiving specific services from health care professionals (HCPs). Utilize available resources to obtain insurance benefits information for ordered services in a timely manner including insurance provider services department, health care professionals and referral resources.
- Conduct preauthorization services for patients receiving specific services from HCPs. Complete Specialty Pharmacy forms when necessary. Ensure compliance with guidelines, processes and codes of conduct.
- Provide professional service to HCP customers, responding to requests within the specified timeframe and reporting back results of insurance verification and/or preauthorization both verbally and in writing
- Maintain and update database system with health care professional and patient information as defined in insurance verification and preauthorization processes
- Assist in generating reports and presentations using Microsoft Word, Excel and PowerPoint.

WHAT YOU NEED TO BRING TO THE TABLE:

- Three to five (3-5) years of prior insurance verification and preauthorization work required
- Experience in health insurance customer service department or working in a provider setting with these assigned responsibilities
- Must have analytical problem solving skills, strong written and verbal communication skills, and have excellent organization skills
- Proficient in Microsoft Office and ability to learn new software programs as necessary
- Ability to independently manage and complete work within specified timeframes

OPPORTUNITY IS CALLING, APPLY NOW!

Yoh, a Day & Zimmermann company, is an Equal Opportunity Employer, M/F/D/V. Contact us if you are an individual with a disability and require accommodation in the application process.

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Ref:

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Projektdetails

  • Einsatzort:

    Parsippany, Vereinigte Staaten

  • Projektbeginn:

    asap

  • Projektdauer:

    Keine Angabe

  • Vertragsart:

    Contract

  • Berufserfahrung:

    Keine Angabe

Geforderte Qualifikationen

  • Kategorie:

    IT Entwicklung

  • Skills:

    client

Yoh