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