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USA Clinics Group

Integrated ambulatory care network of clinics

Insurance Verification Specialist

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeNorthbrook, IL, USA$23 - $26 /hr

About the Job

Requirements

  • At least 2 years of prior experience in a health care setting handling benefit verification and prior authorizations.
  • Strong computer skills and excellent typing skills.
  • Strong data entry skills.
  • Excellent organizational skills.

Responsibilities

  • Obtain referrals and/or authorizations before the service date for tests, procedures, and clinic admissions.
  • Review referring physician and patient documentation for medical necessity against insurance protocol requirements for pre-certification.
  • Communicate authorization status to staff and communicate the need for rescheduling and/or cancellation when authorization is not in hand.
  • Direct liaisons to offices and patients regarding new, changed, or pending insurance authorizations, and provide ongoing education about changes in authorization requirements.
  • Schedule STAT and emergent patients for outpatient diagnostic exams.
  • Interact with patients, their representatives, physicians, physician office staff, and others to gather and ensure the accuracy of demographic, billing, and clinical information.
  • Produce and distribute required forms with accurate patient information.
  • Protect patient rights to confidentiality and privacy, disclosing information only for professional purposes in the patient's best interests and with full consideration of their legal rights.
  • Perform additional duties as assigned.

Desired Qualifications

  • Advanced education.
  • Bilingual ability in English and Spanish.
  • Billing and Coding or other related certifications.
  • Attention to detail and proofreading skills.
  • Customer service skills.

About the Company

USA Clinics Group

Integrated ambulatory care network of clinics

USA Clinics Group operates over 160 outpatient clinics across the United States, housing specialized centers such as USA Vein Clinics, USA Fibroid Centers, USA Vascular Centers, USA Pain Center, USA Prostate Centers, USA Oncology Centers, USA Hemorrhoid Centers, and USA Longevity Centers. Their team of interventional radiologists and vascular surgeons offers minimally invasive treatments for conditions like varicose veins, uterine fibroids, peripheral artery disease, hemorrhoids, enlarged prostate, knee osteoarthritis, and liver cancer in outpatient settings. Care is delivered through coordinated patient-centered care paths that guide patients from diagnosis to treatment across the network. The goal is to provide safe, effective, and compassionate care that improves patients’ quality of life.

Company size
201-500
Company stage
Not listed
Total funding
Not listed
Headquarters
Northbrook, IL
Founded
2005

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