ESSENTIAL DUTIES and RESPONSIBILITIES

• Contact insurance companies to verify coverage determinations, prior authorizations, and claim statuses, ensuring data accuracy and completeness in internal systems
• Review and update provider information and documentation to ensure correct enrollment with all payors and maintain a single source of truth.
• Maintain department denial management tools, insurance logs, peer to peer request and appeal determinations
• Maintain confidentiality of patient records and employee/co-worker information
• Submit authorizations, peer to peer requests and referrals 

JOB QUALIFICATIONS and REQUIREMENTS:

• Bachelors Degree in related field, or equivalent work experience 
• 100% English 
• Ability to manage computers, Outlook, Excel, computer systems, etc 
• Strong communication, both written and verbal
• Great active listening skills
• Exceptional interpersonal and rapport building skills
• Strong time management and organizational skills
• Adaptability and flexibility
• Comfortable working in fast-paced environments
• Computer literacy
• Phone skills, including familiarity with complex or multi-line phone systems.