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Medical Insurance Verification Specialist

Company: Hudson Medical + Wellness
Location: Walton
Posted on: January 16, 2022

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 & 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 hr@hudsonmedical.com. We look forward to receiving your application.

Keywords: Hudson Medical + Wellness, Scranton , Medical Insurance Verification Specialist, Healthcare , Walton, Pennsylvania

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