Job description

Total Orthopedics and Sports Medicine is a multi-office provider of musculoskeletal care. We are searching for a full time insurance verification specialist for our Massapequa office. Candidate should be reliable and punctual and share the same emphasis on patient satisfaction.

The essential duties include the following, other duties may be assigned.

• Verifies insurance/managed care plans for eligibility for all of the insurance plans listed in the patient account.
• Uses EMR System to confirm eligibility and/or contacts the payer directly and documents the outcome in the patient account.
• Contacts patients directly when insurance has terminated or shows ineligible in attempts to obtain new information prior to office visits.
• Will pre-certify all patient testing, procedures and injections by confirming their insurance/managed care plan eligibility in addition to confirming whether prior authorization for visits and treatments are necessary.
• Obtains and/or advises patients of the need for referrals as indicated on their insurance plan. Obtains all Healthcare Partners referrals for existing patients providing all clinical documents, as necessary.

• Performs other related duties as assigned by senior management.

Job Type: Full-time

Benefits:

• 401(k) matching
• Dental insurance
• Disability insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance

Schedule:

• 8 hour shift
• Monday to Friday

Work Location: One location

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