CHC Solutions, Inc. ยท 16 hours ago
AUTHORIZATION SPECIALIST
INDUSTRY - Pittsburgh, PA 15275
Full-time
Onsite
New Grad, Entry LevelCHC Solutions, Inc. is currently seeking a passionate Insurance Authorization Specialist to join our team in the Pittsburgh, PA (Robinson Township) office. The role involves verifying insurance eligibility and ensuring that patients prescribed medical supplies are covered by their insurance.
Customer ServiceMedical DeviceWholesale
Responsibilities
Verify insurance eligibility using our established methods
Accurately enter insurance, patient ID and eligibility details into patient accounts
Obtain clinical documentation, including physician records, to support medical need for the product
Prepare and submit precertification/authorization requests per insurance requirements
Manage open and pending authorizations by following established procedures
Communicate patient financial responsibilities
Update patients and referrals on order progress and delays
Document all correspondence with patients, families, providers or insurers in the patient account using the standard note format
Upload medical documents to patient accounts
Follow all CHC Solutions policies, procedures and protocols
Comply with all government regulations and professional standards for patient care
Maintain a positive, empathetic and professional attitude with customers at all times
Provide product education upon patient request
Engage in continuous education to stay current on the products dispensed by the company
Report incidents or complaints to your supervisor and complete the required documentation
Qualification
Required
Strong typing and computer skills, including Word, Excel and Outlook
Exceptional verbal and written communication abilities
Demonstrated expertise in time management, organization, multitasking, prioritization and follow-through in dynamic environments
Comfortable and effective working in fast-paced settings
Capable of working independently while contributing positively to a collaborative team
Preferred
Possess experience with insurance and customer service in the health care industry
Benefits
Generous paid time off (for full-time employees)
Health, dental and vision insurance.
Life, AD&D and long-term disability coverage.
Opportunities to grow your skills and advance your career in health care.
An inclusive workplace. CHC Solutions, Inc. is an Equal Opportunity Employer.
Company
CHC Solutions, Inc.
CHC Solutions, Inc. is a family of companies providing comprehensive medical supplies and equipment as well as patient-focused service.
Founded in 1985
201-500 employees
Funding
Current Stage
Growth StageLeadership Team
Heather Edmunds
CEO
Justin Glass
Startegic Partnerships Customer Service Specialist
Company data provided by crunchbase