Senior Insurance Pre-Authorization Officer

Job Summary

The Senior Officer – Insurance Pre-Authorization will secure pre-approvals for all contracted payers and assist patient with insurance coverage.

Job Responsibilities 1

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.