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Insurance Verification Specialist
Career Insights for Eligibility Specialist
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Scorecard
Based on California data
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What they do
An Eligibility Specialist provides assistance and information for people who apply for a government benefits program or health care program. Answers questions, assists with an application process, and reviews applications and relevant background information to determine eligibility. May assist eligible applicants with enrolling in a program.
$54,990 / year median in California
+4% projected growth
Job Description
Insurance Verification Specialist at Bookman Consulting Insurance Verification Specialist at Bookman Consulting in Corona Del Mar, California Posted in about 15 hours ago.
Type:
full-time We are recruiting for a Insurance Verification Specialist for our client in Irvine. Our client is medical treatment provider. The appropriate candidate should have experience interacting directly with insurance carriers, third party administrators, etc., while seeking authorization for treatment, and navigating potential billing issues. This role should have excellent work/life balance! Insurance Verification Specialist (Irvine - On Site): Must have experience working with insurance carriers to obtain medical pre-authorizations Must have excellent communication skills Should have experience submitting authorization requests, including Requests for Authorization (RFAs) Should have experience reviewing authorization approvals to confirm approved dates, units, frequency, level of care, and services Should have experience monitoring authorization expiration dates and remaining approved units to prevent authorization gaps Should have experience managing authorization changes when clients transition between levels of care Salary likely $70-$80k + benefits, PTO, etc This company has been around a long time, has an excellent reputation in the community, and is growing quickly. They invest in their people and promote from within. This is a brand-new role! This position works closely with Workers' Compensation carriers, third-party administrators (TPAs), and billing staff to ensure services are appropriately authorized and requirements are met prior to and throughout treatment. If interested, please attach a fully updated copy of your resume. Thank you!