Verification/Authorization Clerk

Position Title: Verification/Authorization Rep

Benefits:

• Health Care—100% health insurance premium covered by PRO~PT for Employee
• Dental and vision
• Employer paid group life insurance
• Additional benefits: short-term disability, critical illness, hospital indemnity, and voluntary life insurance
• Retirement—401(k) with employer matching
• Vacation—Two weeks (10 days) paid vacation, five days designated sick time, seven paid holidays.

General Summary
Performs insurance authorizations/verification. Responsibilities include but are not limited to heavy phone contact with managed care companies, communicating with insurance companies’ authorization departments regarding any CPT code discrepancies (as assigned), and contacting patients before appointments if there are any insurance/authorization issues. Serves as a valuable resource to patients, providing them with pertinent information on their insurance coverage.

Essential Job Functions

• Responsible for any and all authorization requests including research, follow up and resolve within a timely manner and accurately enter as well as document the correct insurance information and activity into the patient’s chart
• Effectively communicates via phone with customers, employees, and vendors using exemplary customer service skills
• Responsible for attention to detail, organization, cleanliness, strong multitasking, and time management skills
• Properly complete timesheet daily
• Regular, consistent, and predictable attendance per PRO-PT’s attendance and punctuality policy
• All other duties as assigned IE: Assists in the training of department staff, ordering supplies, etc.

Education and Experience

• High School Diploma or Equivalency
• Minimum of one (1) year of insurance verification experience
• Post-high school courses in insurance billing, data processing, and medical terminology (or willing to learn) preferred

Physical Requirements

• Hearing: Adequate to perform job duties in person and over the telephone.
• Speaking: Must be able to communicate clearly to patients and insurance over the telephone.
• Vision: Visual acuity adequate to perform job duties, including visual examination of patients and reading information from printed sources and computer screens.
• Other: Requires occasional lifting and carrying of items weighing up to 35 pounds unassisted. Requires bending, reaching, standing, walking, and sitting (extended periods of time).

Working Conditions: Normal working conditions absent extreme factors.

Note: The above statements are intended to describe the general nature and level of work being performed. They are not intended to be construed as an exhaustive listing of all responsibilities, duties, and skills required.