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

UE02RUVZancyZlhWZDBEOWNZdXhCK1IzT2c9PQ==
  • 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

Palmer Legal Staffing

Office Assistant Job at Palmer Legal Staffing

 ...A Global International Arbitration Law Firm is seeking an Office Assistant for the D.C. Office. Reporting to the Office Manager, the Office...  ...between 8am - 6pm. This position may have the option for a work from home day once the candidate is fully trained but that will... 

Sage Dental

Periodontal Dental Assistant Job at Sage Dental

 ...Job Description Sage Dental is the leading Dental Support Organization (DSO) in the Southeast, and we are continuing to grow! At Sage...  ...and insurance benefit education Providing assistance to the office and Specialist with daily operations as needed Qualifications... 

Sparix Global.

Teradata Developer Job at Sparix Global.

 ...Job Summary (List Format): - Develop, optimize, and maintain Teradata SQL queries, BTEQ scripts, and data processing workflows for large-scale data warehouses. - Design, build, and manage ETL processes to ensure efficient data integration and processing.... 

Tata Consultancy Services

Data Engineer Job at Tata Consultancy Services

 ...Role: Data Engineer Location: Plano, Texas, United States Experience Required - 8+ Years Must Have Technical/Functional Skills Snowflake, dbt, Datastage / Informatica, python (basics), git, control-m, vs code copilot Roles & Responsibilities 1. Analyze... 

Michael Page

Legal Executive Assistant Job at Michael Page

 ...Legal Executive Assistant Join one of the most prestigious law firms in the world. Provide white glove service directly to Partners, Counsel, and Senior Attorneys. Job Description Manage and organize executive calendars, including scheduling meetings and appointments...