Vob/authorization Specialist

Description:

Responsible for verifying insurance benefits, calculating patient responsibility estimates, and securing timely service authorizations.

Collaborates with departments and insurance companies to ensure efficient care and financial processes.

𝐊𝐞𝐲 𝐑𝐞𝐬𝐩𝐨𝐧𝐬𝐢𝐛𝐢𝐥𝐢𝐭𝐢𝐞𝐬:

Verify patients' insurance benefits and pre-authorization requirements.

Secure authorizations for, outpatient, and specialty services promptly (Intervention Cardiologist & Radiology).

Calculate and communicate patient responsibility estimates (copays, deductibles).

Collaborate with clinical and administrative teams for necessary authorizations before services.

Maintain accurate records in the Electronic Medical Record (EMR) system.

Address denied authorizations and insurance inquiries efficiently.

𝐐𝐮𝐚𝐥𝐢𝐟𝐢𝐜𝐚𝐭𝐢𝐨𝐧𝐬:

Bachelor’s Degree at least.

Minimum 2 years in a related role.

Strong organizational skills and attention to detail.

Excellent verbal and written communication skills.

Professional interaction with patients, families, and insurance providers.

Familiarity with medical terminology and ECW software.

Professional telephone etiquette.