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*Representative I

Integrated Resources, Inc Mount Prospect Contractor
$60,428.00 (Careerbuilder est.)
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The Authorization Specialist will support the Center of Excellence department by obtaining insurance benefits and authorizations and proof of payment from insurance providers.

As an Benefits verification /Authorization Specialist Specialist you will...
* obtain insurance authorizations for new and current patients.
* Verify insurance coverage for changes in medication orders.
* Research and follow up on authorization denials
* Work closely with staff to collect additional information on Physician Orders.
* Scan and upload documents from insurance providers into electronic records system and notify appropriate departments.
* Submit changes to patient prescriptions in the system and obtain authorization for payment.

Position Summary:

As an Benefits verification /Authorization Specialist Specialist you will...
* obtain insurance authorizations for new and current patients.
* Verify insurance coverage for changes in medication orders.
* Research and follow up on authorization denials
* Work closely with staff to collect additional information on Physician Orders.
* Scan and upload documents from insurance providers into electronic records system and notify appropriate departments.
* Submit changes to patient prescriptions in the system and obtain authorization for payment.

Duties:

Knowledge of Medicare, Medicaid, and 3rd party vendors is a plus. The primary responsibilities are to verify insurance coverage for potential new clients. Additionally, this person will re-verify insurance coverage for existing patients in order to process patient prescription needs successfully and demonstrate excellent customer services to patients, healthcare professionals, and insurance carriers. This role will require an understanding of insurance concepts, including drug cards, major medical benefits, and per diem coverage, as well as knowledge of government and patient assistance programs. Strong attention to detail, and proven analytic and problem solving.

Experience:

Minimum 1 year experience working in a customer service or call center environment.
* Data entry experience.
* Experience working in Microsoft Office, specifically Excel, Outlook and Word.

Education:

High School diploma or GED
 

Recommended skills

Authorization (Medical)
Customer Service
Data Entry
Microsoft Outlook
Medicaid
Medicare

Location

CareerBuilder Estimated Salary What is the Careerbuilder Estimated Salary? Only about 20% of the jobs in our search results contain salary information. When a job posting doesn’t include a salary, we estimate it by looking at similar jobs in the same industry in that location. It is not necessarily endorsed by the employer and actual compensation may vary based on your experience.

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What is the Careerbuilder Estimated Salary?

Only about 20% of the jobs in our search results contain salary information. When a job posting doesn’t include a salary, we estimate it by looking at similar jobs in the same industry in that location. It is not necessarily endorsed by the employer and actual compensation may vary based on your experience.
This estimation is based on Job title, Industry, Location and Skills
$60,428
Avg. Yearly Salary

Career Path

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*Representative I
$60,428.00 (Careerbuilder est.)
Estimated Salary: $70K
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Job ID: 19-17590

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