Insurance Eligibility Specialist - CCSO Authorizations
About the role
The Specialist performs a variety of tasks that require basic knowledge of systems and procedures. Under the direction of the immediate CCSWOK Patient Access supervisor, the position is responsible for verifying insurance eligibility, obtaining authorizations and referral requirements when necessary. The Specialist also performs a variety of tasks that affect the ongoing and future clinical care of patients on a daily basis. In addition, they will check on the facility and the follow-up/reconciliation that the tests and referrals have been performed. The position works closely with the personnel of various providers to insure timely appointments for CCSWOK patients. The Specialist helps to ensure that patients flow through the scheduling and registration systems as quickly and efficiently as possible, while also ensuring all fiscal procedures are followed in a consistent manner.
Responsibilities
- Verifies insurance eligibility
- Obtains authorizations and referral requirements when necessary
- Affects the ongoing and future clinical care of patients on a daily basis
- Checks on the facility and follows up/reconciles test and referral performance
- Works closely with personnel of various providers to ensure timely appointments for CCSWOK patients
- Ensures patients flow through scheduling and registration systems efficiently
- Ensures all fiscal procedures are followed consistently
Requirements
- Basic knowledge of systems and procedures
- Under the direction of the immediate CCSWOK Patient Access supervisor
- High School Diploma preferred