Insurance Verifier

**Summary** Works directly with clinics to identify and secure payer referral requirements for maximum reimbursement **Essential Duties and Responsibilities** include the following. Other duties may be assigned. - Work requests from a queue or email communication from clinic staff or other source - Confirm validity of any referrals already on file - Submit request for needed referrals to appropriate authority or PCP - Follow up to secure authorization prior to patient appointment to ensure reimbursement - Provide requested clinical information to PCP to support referral - Advise clinic staff of any anticipated delays for authorization - Secure referrals and enter them in the patient’s electronic record **Education and/or Experience** - Strong, working knowledge of insurance payers to include government, commercial and managed care products - Ability to establish a good rapport with outside providers and third party payers - Resourceful, steadfast attitude to make sure that patient needs are met timely - Comfortable with navigating through the payer websites to secure appropriate benefits and authorization requirements - Excellent verbal and oral communication skills - Excellent customer service skills are expected with internal and external customers **Other Qualifications:** - Must be able to multitask and demonstrate excellent organizational skills - Understanding of insurance contracts and networks essential - Extensive coding and medical terminology preferred - Computer literate, knowledge of, or ability to learn multiple clinic/hospital software required. **Education and/or Experience** - Strong, working knowledge of insurance payers to include government, commercial and managed care products - Ability to establish a good rapport with outside providers and third party payers - Resourceful, steadfast attitude to make sure that patient needs are met timely - Comfortable with navigating through the payer websites to secure appropriate benefits and authorization requirements - Excellent verbal and oral communication skills - Excellent customer service skills are expected with internal and external customers **Other Qualifications:** - Must be able to multitask and demonstrate excellent organizational skills - Understanding of insurance contracts and networks essential - Extensive coding and medical terminology preferred - Computer literate, knowledge of, or ability to learn multiple clinic/hospital software required.