Job Description

Job Description:

Insight Global is seeking an experienced Office Administrator with a background in insurance verification to join one of our local ENT practices in Willow Grove, Pennsylvania. The ideal candidate will be responsible for verifying patient insurance coverage, obtaining pre-authorizations, and ensuring that all necessary pre-certifications are completed. Additionally, this role includes front desk duties and may require working longer hours due to patient volume, typically around 30-40 patients daily.

Key Responsibilities:

• Verify patient insurance coverage and benefits eligibility
• Obtain pre-authorizations and pre-certifications for procedures and treatments
• Utilize NaviNet and PEAR portals for insurance verification and authorization processes
• Coordinate with medical staff to ensure all necessary documentation is available and accurate
• Prepare and submit insurance claims, and follow up on any issues related to insurance verification and claim submission
• Resolve patient billing and insurance inquiries and disputes
• Maintain accurate and up-to-date patient insurance information in the practice management system
• Perform front desk duties, including greeting patients, scheduling appointments, and managing patient flow

Must Haves:

• GED/Diploma
• Insurance Verification experience
• Pre-authorization experience
• Pre-cert experience
• Knowledge of NaviNet and PEAR portal
• Experience in a medical surgical practice
• Knowledge of insurance policies and procedures

Job Tags

Similar Jobs