Surgical Insurance Verification Specialist
CurrentVerify patient eligibility, benefits, and authorization requirements for specific surgical, photodynamic therapy, and patch testing CPT and ICD-10 codes. Calculate and inform patients of treatment therapy estimates based on deductibles, coinsurance, copays, and out of pocket maximums using information gathered during verification process. Prior Authorization coordination for required codes and policies, including confirming PA requirements, submitting appropriate medical records to support, and completing medical questionnaires as required by insurance providers. Utilize and navigate public and private insurance portals and communicate professionally with insurance personnel via phone and chat to gather all pertinent information and document benefits in detail to use in determining patient responsibility estimates. Compute, prepare, and authorize potential patient payment plans based on established guidelines.