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Insurance Processor

SARASOTA, FL 34243

Posted: 02/25/2019 Industry: Claims Processor Job Number: 000005901

TRC is hiring energetic Insurance Verification Specialists needed for our client in Sarasota, FL. Insurance Verifications Specialists will assist with completion of verifications and prior authorizations of DME coverage, evaluates portion to be paid by customer, and performs other Insurance related assignments as directed.

All our positions are contract to hire and we are looking for individuals who want to make a career with our client.

Monday- Friday, Full-time employment

Responsibilities:

  • Handles activities related to verification of insurance benefits for customers.
  • Notifies customer of any deductible and/or coinsurance due.
  • Completes financial assistance applications, if appropriate.
  • Contacts customer directly when necessary to obtain additional information.
  • Contacts Primary Care Physicians with regard to referral information.
  • Complies pre-certification information and forwards to insurance company to establish medical necessity and prior approval.
  • Performs regular follow-up calls with insurance companies checking status of prior authorization request. Submits additional documentation, if required.
  • Reviews denials and follows up according to standard procedures. Researches other

Qualifications:

  • High School Diploma or equivalent related experience.
  • Prior experience with verification and authorizations.
  • Basic knowledge of medical insurance and terminology.

Benefits w/ our Client:

  • Medical
  • Dental
  • Vision
  • Basic Life Insurance
  • Health Savings Account
  • 401 (k) contributions
  • PTO Program and Accrual
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