Insurance Specialist I

Verify insurance eligibility and benefits for scheduled services or service being provided

Accurate calculation of patient’s estimated responsibility for scheduled services

Determination of authorization/referral requirements according to payor guidelines

Validation of all authorizations/referrals according to established guidelines

Determine if scheduled service is medically necessary according to payor guidelines

Adherence to all documentation standards

Educate patients on insurance benefits and financial responsibility effectively

Ability to perform all other duties as assigned or requested