Deskripsi Pekerjaan
Join MicroSourcing as an Insurance Verification and Authorization (IV/Auth) Auditor and become part of our commitment to excellence in healthcare administration. In this critical role, you will ensure the accuracy and compliance of insurance verification processes, directly impacting patient care and healthcare provider operations.
As an IV/Auth Auditor, you will be responsible for reviewing and analyzing insurance documentation, verifying patient eligibility, and ensuring proper authorization for medical services. Your attention to detail and analytical skills will play a crucial role in identifying discrepancies, resolving billing issues, and maintaining compliance with healthcare regulations and insurance requirements.
We value professionals who bring their expertise and dedication to every task. At MicroSourcing, we celebrate your 100% commitment to quality and accuracy. If you have a passion for healthcare administration and a keen eye for detail, this role offers an opportunity to grow your career while making a meaningful impact on healthcare operations.
Tanggung Jawab
- Review and analyze insurance verification and authorization documentation for accuracy and completeness
- Verify patient eligibility and coverage details across various insurance providers
- Identify discrepancies in insurance information and resolve billing issues
- Ensure compliance with healthcare regulations, insurance requirements, and company policies
- Document audit findings and prepare detailed reports for management review
- Collaborate with healthcare providers and insurance companies to resolve authorization issues
- Maintain accurate records of all verification and authorization activities
- Stay updated on changes in insurance policies, healthcare regulations, and industry best practices
Kualifikasi
- Bachelor's degree in Healthcare Administration, Business Administration, or related field
- Previous experience in insurance verification, medical billing, or healthcare auditing
- Strong knowledge of insurance processes, claims procedures, and healthcare regulations
- Excellent attention to detail with strong analytical and problem-solving skills
- Proficiency in healthcare software systems and data analysis tools
- Strong communication skills for effective collaboration with stakeholders
- Ability to work independently and manage multiple tasks efficiently
- Certification in healthcare coding or auditing is a plus