Senior Insurance Pre-Authorization Officer
Job Description
The Senior Officer – Insurance Pre-Authorization will secure pre-approvals for all contracted payers and assist patient with insurance coverage.
Responsibilities
- • Studies insurance plans used most frequently with patients to understand the various nuances to communicate more effectively.
- Documents basic insurance information in the patient’s file for quick reference.
- Processes and submits insurance claims daily.
- Monitors and follows up on outstanding claims.
- Provides the appointment coordinator with patient names and amounts due, so effective collection over the counter can take place during the day.
- Identifies patients in the daily schedule who are a financial concern, notes payment problems on the patient’s chart, and arranges a conference with them either before or at the time of the appointment.
- Records all financial discussions with patients in their file.
- Contacts patients who have not kept their financial agreement within a 5-day grace period to collect payment following the financial plan.
- Prepares and mails patients’ statements each month on a regular billing cycle.
- Sends information as requested by insurance companies such as x-rays, charting, narratives, and other documentation for processing the claim when applicable.
- Provides insurance predetermination documentation to patients, contacts the patient to make financial arrangements, and schedules treatment.
- Corresponds with insurance companies to resolve payment delays, requests for additional information, or to discuss denied treatment coverage.
