Medical Authorization & Insurance Verification Specialist

Shelton, CT
Monday–Friday | 8:30 AM–5:00 PM
Up to $22.00/hour based on relevant experience

Express Employment Professionals is recruiting an Authorization & Account Verification Specialist for a healthcare organization in the Shelton, CT area.

We are interested in candidates with experience in medical administration, insurance verification, prior authorizations, patient accounts or healthcare office support. We will also consider strong administrative professionals with excellent computer, data-entry, customer service and organizational skills who are interested in learning the healthcare authorization process.

Training may be available for candidates with strong transferable administrative skills. Starting pay may vary based on relevant experience.

RESPONSIBILITIES

Review medical orders and referrals for accurate patient demographics, insurance information, CPT codes and clinical documentation
Verify insurance eligibility and benefits
Determine prior authorization requirements for medical services
Initiate, track and validate insurance authorizations according to payer guidelines
Confirm accuracy of authorizations received from referring provider offices
Accurately document authorization activity and communications in patient records
Communicate authorization status, issues and denials with providers, staff, insurance payers and patients
Ensure information is accurately entered and maintained within patient accounts
Follow insurance payer policies, authorization timelines and established workflows
Maintain patient confidentiality and follow HIPAA requirements
Provide professional, patient-focused customer service
Research and help resolve authorization, insurance and account-related issues

QUALIFICATIONS

Experienced healthcare administrative candidates AND strong administrative candidates with transferable skills are encouraged to apply.

Relevant experience and skills may include:

Prior authorization or insurance verification
Medical office or healthcare administration
Patient accounts or medical billing
Medical terminology, ICD-10 and CPT codes
EPIC or other Electronic Medical Record (EMR) systems
Administrative or office support experience
Strong computer and data-entry skills
High-volume customer service
Managing detailed records and documentation
Ability to multitask in a fast-paced office
Strong organizational and problem-solving skills
Excellent attention to detail and accuracy
Professional phone and written communication skills

High school diploma or GED required.

Previous healthcare administrative experience is preferred; however, candidates with a strong administrative background and demonstrated ability to learn new systems and processes may also be considered.

SCHEDULE & PAY

Monday–Friday
8:30 AM–5:00 PM

Up to $22.00 per hour based on relevant experience. Starting pay may be lower for candidates requiring training in medical insurance verification and prior authorization processes.

Candidates with experience as a Prior Authorization Specialist, Insurance Verification Specialist, Medical Administrative Assistant, Patient Account Representative, Medical Billing Specialist, Administrative Assistant or Healthcare Customer Service Representative may have transferable skills for this opportunity.

If you're an experienced medical administrative professional—or a strong administrative candidate interested in expanding your skills into healthcare and insurance authorization—we'd like to hear from you.

HOW TO APPLY
Email your current resume to jobs.sheltonct@expresspros.com
OR
Complete your work history through our online application at ExpressPros.com/SheltonCT.
By applying, you agree to receive text messages from our office regarding your initial screening interview, as well as emails and texts about other job opportunities.
Due to continued growth, we are always accepting applications from talented candidates for current and future opportunities with our client companies.
ABOUT EXPRESS
At Express Employment Professionals, we’re in the business of people. We help job seekers find work and businesses find the people they need to succeed.
Express is one of the leading staffing companies in North America, and our Shelton, CT team is ready to help you take the next step in your career.
EQUAL EMPLOYMENT OPPORTUNITY
Express Employment Professionals is committed to equal employment opportunity and to hiring and promoting individuals based on their qualifications for each position.
In compliance with applicable federal, state and local laws, employment decisions are based on business needs, job requirements and individual qualifications without regard to race, color, religious creed, national origin, ancestry, age, gender, pregnancy, sexual orientation, gender identity, marital status, familial status, disability, genetic information, protected veteran status, or any other status protected by applicable law.
Express does not tolerate discrimination or harassment and expects employees and associates to help maintain a workplace free from discrimination and harassment.
PAY & BENEFITS
Express Employment Professionals associates are paid hourly unless otherwise noted. Associates accrue paid sick leave in accordance with Connecticut law.
Eligible associates may also have access to optional supplemental health benefits that they may elect or decline. Details regarding available plans, costs and eligibility are provided during onboarding. Benefits and eligibility may vary upon full-time placement with an individual client company or assignment.
WORK AUTHORIZATION
Sponsorship is not available for Express Employment opportunities. Applicants must be currently authorized to work in the United States on a full-time basis. Express Employment Professionals uses E-Verify.

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Express Office: Shelton

1077 Bridgeport Avenue

Suite 106

Shelton, CT 06484

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