Lead Insurance Specialist

Responsibilities

• Oversees daily operations of all insurance specialists and registration specialists who work on all appointments and procedures being authorized.
• Responsible for training and keeping insurance staff up to date on all changes to insurance coverage.
• Updates and informs their manager/supervisor on any insurance updates and changes.
• The incumbent is responsible for assuring all appointments and procedures are authorized.
• Insurance carriers are contacted to verify coverage and benefit limitations.
• Tests and procedures are pre-authorized and scheduled.
• Deductibles, co-payments, account balances, and fees are calculated and notations are added to the system for front end collection.
• Responsible for minimizing reimbursement errors resulting from inaccuracy of referral and enrollment information.
• Training new and existing insurance specialists on the insurance needs and processes in clinical offices.
• Ongoing training and sharing of updates and changes to insurance coverages.
• Identifies all patients requiring pre-certification or