Job description
Overview:
ESSENTIAL DUTIES AND RESPONSIBILITIES
Core duties and responsibilities include the following. Other duties may be assigned.
Responsibilities:
Core duties and responsibilities include the following. Other duties may be assigned.
- Coordinate completion of prior authorizations.
- Verifying patient’s insurance eligibility.
- Submit requested medical documentation to insurance companies.
- Troubleshoot authorization related issues.
- Work with insurance plants to pre-authorize and re-authorization of patient services.
- Maintain contact regarding status of authorization and any additional documentation needed.
- Verification of eligibility and benefits.
- Respond to internal/external inquiries relating to authorizations.
- Follow up on insurance authorizations.
- Additional duties as assigned.
Each NVISION employee is responsible for adhering to law and NVISION policy which prohibits the
unauthorized disclosure of any information regarding a patient’s medical history, mental or physical
condition, or treatment without the expressed authorization of the patient or the patient’s legal
representative.
This position may have access to confidential information. This includes, but not limited to, protected
health information (“PHI”) of patients treated at NVISION, employment records, and information related
to NVISION business practices and plans. NVISION and its workforce are legally and ethically obligated
to protect such information as defined in federal law or regulation, and policies of NVISION. All
members of the NVISION Workforce are required to report any potential concerns related to PHI
immediately. “Workforce” is defined as employees, volunteers, trainees and other persons under the
direct scope of NVISION whether or not paid by NVISION. Also included are any independent
contractors who have not signed a Business Associate Agreement.
Qualifications:
unauthorized disclosure of any information regarding a patient’s medical history, mental or physical
condition, or treatment without the expressed authorization of the patient or the patient’s legal
representative.
This position may have access to confidential information. This includes, but not limited to, protected
health information (“PHI”) of patients treated at NVISION, employment records, and information related
to NVISION business practices and plans. NVISION and its workforce are legally and ethically obligated
to protect such information as defined in federal law or regulation, and policies of NVISION. All
members of the NVISION Workforce are required to report any potential concerns related to PHI
immediately. “Workforce” is defined as employees, volunteers, trainees and other persons under the
direct scope of NVISION whether or not paid by NVISION. Also included are any independent
contractors who have not signed a Business Associate Agreement.
EDUCATION AND/OR EXPERIENCE AND OR LICENSE/CERTIFICATION
Min: USD $20.00/Hr. Max: USD $22.00/Hr.
- At least 1 year of previous experience in insurance verification and authorizations required.
- Prior pre-authorization and authorization knowledge/experience.
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