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Insurance Authorization Jobs in Virginia (NOW HIRING)

Riverside Health System Non-Providers

$16.80 - $21.83/hr

Obtains insurance authorizations as necessary. * Recommends to practice manager any process improvements needed to improve quality of service. Maintains appearance and cleanliness of the reception ...

Riverside Health System Non-Providers

$16.80 - $21.83/hr

Obtains insurance authorizations as necessary. * Recommends to practice manager any process improvements needed to improve quality of service. Maintains appearance and cleanliness of the reception ...

Riverside

$16.80 - $21.83/hr

Obtains insurance authorizations as necessary. * Recommends to practice manager any process improvements needed to improve quality of service. Maintains appearance and cleanliness of the reception ...

Riverside

$16.80 - $21.83/hr

Obtains insurance authorizations as necessary. * Recommends to practice manager any process improvements needed to improve quality of service. Maintains appearance and cleanliness of the reception ...

Riverside Health System Non-Providers

$16.80 - $21.83/hr

Obtains insurance authorizations as necessary. * Recommends to practice manager any process improvements needed to improve quality of service. Maintains appearance and cleanliness of the reception ...

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Insurance Authorization information

What is the 3 month rule for jobs?

In the context of insurance authorization jobs, the 3 month rule often refers to a policy where certain authorizations or approvals are valid for three months, requiring re-authorization afterward. This rule helps ensure that coverage and approvals are current and accurate, and employees in this role must monitor expiration dates and follow up for renewals or re-approvals as needed.

What does an insurance authorization specialist do?

An insurance authorization specialist reviews and obtains prior authorization from insurance companies to approve medical procedures, treatments, or services. They communicate with healthcare providers and insurers, ensure documentation is complete, and use billing or authorization software to facilitate approvals, helping to ensure timely patient care and reimbursement.

What is an Insurance Authorization job?

An Insurance Authorization job involves verifying patient insurance coverage and obtaining necessary approvals before medical services are provided. Professionals in this role communicate with insurance companies, healthcare providers, and patients to ensure procedures are covered. They also handle documentation, follow up on pending requests, and assist in resolving authorization issues. Strong attention to detail and knowledge of insurance policies are essential for success in this role.

What are the key skills and qualifications needed to thrive in the Insurance Authorization position, and why are they important?

To excel in Insurance Authorization, you generally need knowledge of healthcare insurance procedures, attention to detail, and experience with medical terminology or health administration. Familiarity with insurance verification systems, EHRs, and payer portals is highly valued, and some positions may require certification in medical billing and coding. Strong organizational skills, clear communication, and customer service orientation help set top performers apart. These competencies ensure accurate authorization processes, minimize claim denials, and maintain effective communication among patients, providers, and insurers.

Is prior authorization a stressful job?

Insurance authorization jobs can be stressful due to the need for accuracy, attention to detail, and managing deadlines. Employees often handle complex documentation and communicate with healthcare providers and insurance companies, which can contribute to workplace pressure. However, stress levels vary depending on the work environment and individual coping skills.

What are the typical challenges faced in an Insurance Authorization role, and how are they addressed?

Working in Insurance Authorization often involves navigating complex insurance policies, staying updated with changing payer requirements, and handling high volumes of patient cases within tight deadlines. Effective team collaboration and strong problem-solving skills are essential to resolve issues such as denied claims or missing documentation. Many employers provide initial and ongoing training, along with access to supervisors or a supportive team, to help address these challenges. By staying organized and proactive in communication, Insurance Authorization professionals can efficiently manage their workload and ensure timely patient care.

Do you need a degree to be a prior authorization specialist?

A degree is not typically required to become a prior authorization specialist, but relevant certifications, healthcare knowledge, and experience with insurance processes are often preferred. Strong communication skills and familiarity with medical billing and coding can improve job prospects. Employers may have varying educational requirements depending on the organization.
What are the most commonly searched types of Insurance Authorization jobs in Virginia? The most popular types of Insurance Authorization jobs in Virginia are:
What are popular job titles related to Insurance Authorization jobs in Virginia? For Insurance Authorization jobs in Virginia, the most frequently searched job titles are:
What job categories do people searching Insurance Authorization jobs in Virginia look for? The top searched job categories for Insurance Authorization jobs in Virginia are:
What cities in Virginia are hiring for Insurance Authorization jobs? Cities in Virginia with the most Insurance Authorization job openings:
Insurance Authorization jobs near you

Office Assistant - Gloucester Internal Medicine

Riverside Health System Non-Providers

Gloucester, VA • On-site

$16.80 - $21.83/hr

Full-time

This job post has expired today. Applications are no longer accepted.

Job description

Gloucester, Virginia

Hiring Range

$16.80 - $21.83/Hourly Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.
Overview
Responsibilities include checking in and checking out patients, verifying insurance eligibility, maintaining patient registration by properly entering and updating patient demographics within the patient registration software, greeting patients while answering multi-phone lines, scheduling/rescheduling appointments, creating/scheduling referrals, completing chart prep and providing information to and for the patients. May be asked to float to other practices within the region providing support as needed.
What you will do
  • Ensures all patients' registration and demographics information is correct and updated as needed. Completes check-in and check-out in a timely manner. Collects payments from patients regarding appointments, forms, or past due balances. Monitors daily schedule including scheduling/rescheduling appointments, when necessary, i.e. doctor's illness, meetings, or vacation. Completes clerical chart prep, prepares and prints visit related documents, i.e. consents, receipts, visit summaries, etc.
  • Promotes the Riverside Care Difference through exceptional customer service. Greets all participants to the practice with immediate acknowledgment with eye contact and smile. Manages patient expectations with clear explanations. Uses good telephone etiquette including 4-part greeting and 3 rings or less guideline. Practices warm transfer and proper on-hold techniques.
  • Maintains referrals and insurance information. Obtains referrals or schedules referrals upon receipt from referring location. Ensures referrals are attached with an approved insurance authorization. Obtains insurance authorizations as necessary.
  • Recommends to practice manager any process improvements needed to improve quality of service. Maintains appearance and cleanliness of the reception area. Actively engages in team huddles and staff meetings.

Qualifications
Education
  • High School Diploma or GED, Minimum (Required)

Experience
  • 1 year Medical Office experience (Preferred)

To learn more about being a team member with Riverside Health System visit us at https://www.riversideonline.com/careers.

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