Insurance Verification and Authorization Specialist Job – Irving, TX

Insurance Verification and Authorization Specialist Job – Irving, TX

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Why You'll Love This Job

AT FRONTERA, WE SAVE LIVES!!
The Leading Provider of In-Office Diagnostic Testing
Frontera provides physicians with a complete range of mobile diagnostic services to help accurately diagnose disease or identify a preventive course of action. Frontera brings the diagnostic expertise of heart, lung, vascular and neurological specialists into physicians’ offices. Making it easy for doctors and their patients, we use the latest equipment, clinical expertise and processes to help make patients healthy and physicians’ practices healthier.
Candidate will perform the pre-test verification of insurance eligibility and benefits for patients. Candidate will also obtain referrals or pre-authorizations by contacting insurances and various 3rd party administrators. Customer service contact for internal and external customers via phone and online chat system. Will need to problem solve and make daily decisions based on various insurance rules and guidelines.

Benefits:
  • 100% company-paid medical and life insurance for employee, with optional employee-paid buy-up plans
  • Full suite of benefits, including dental, vision, life, 401K short- & long-term disability
  • PTO, floating holiday, Sick Days, 8 paid holidays

Responsibilities

Duties and Responsibilities
  • Verification of eligibility & benefits through calls to multiple insurances
  • Verification of eligibility & benefits using various online tools
  • Obtain referrals and/or pre-authorization of tests with insurance or 3rd party vendors
  • Contact providers, technicians and patients to gather necessary information
  • Manage incoming online chats to assist field staff
  • Performs other duties as assigned
  • Help educate new field staff members in processes of insurance and verification dept.

Skills & Qualifications

Qualifications
  • Excellent knowledge of insurances
  • Excellent computer, phone & multi-tasking skills
  • Organizational skills & ability to prioritize
  • Professional & courteous communication skills
  • Detail oriented
  • Knowledge of EMR systems preferred
  • Ability to work under pressure (many items are time sensitive)
  • Exceptional knowledge of ICD-10 & CPT coding
  • Strong knowledge of insurance rules & guidelines
  • Strong communication skills – written & oral
  • Must be a team player that can coordinate work with others
  • Education: High school or GED
  • 1 year experience in insurance or medical office preferred
Critical Success Factors
  • Accurate Verification of insurance benefits 
  • Verify 80-100 accounts daily after training
  • Assist field staff via online chat
  • Daily problem solving
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