Authorization and Insurance Verification Specialist
Highbar
Providence, RI, USA
Posted on Mar 27, 2025
The Authorization / Insurance Verification Specialist is responsible for verifying insurances and performing necessary authorizations based on insurance guidelines. The role also includes quality monitoring to ensure clean claim processing.
What You'll Do:
- Identify and solve complex insurance benefit issues.
- Obtain detailed patient information to accurately submit to the proper insurance carriers.
- Contact health care providers to obtain referrals or additional information as necessary.
- Follow up with insurance companies to ensure receipt of patient benefit authorizations.
- Must maintain strong attention to detail to transpose data and information accurately.
- Schedule patient visits when necessary.
- Guide and assist Patient Care Coordinators through difficult accounts.
- Provide information and assist patients when help is needed by researching benefit coverage.
- Assist other departments as needed, including Billing and Front Office.
- Other duties may be assigned.
Qualifications:
- Qualified candidates must have a high school diploma or GED as well as a basic understanding of health insurance benefits.
- Preference will be given to candidates with medical insurance and authorization knowledge.
Compensation Package:
- We offer a comprehensive benefit’s package including Medical, Dental & Vision; 401k with employer match; voluntary disability and life insurance options; Fitness & Wellness reimbursement; paid holidays and paid time off; Flexible work hours; Community volunteer opportunities, and more!