Job Details

Advanced Insurance Specialist

  2022-09-28     Gastroenterology East, P.A.     2210 Hemby Lane  

Job Description

Advanced Insurance Specialist must ensure timely and accurate insurance posting, authorizations, and claims management.  May be responsible for verification of pre-certification, authorization and referral requirements for all office and surgical services. Salary based on experience.

Job Duty

  • Works successfully with payers via electronic or telephone communications
  • Coordinates with designated clinical contracts regarding encounters that require escalation to peer-to-peer review
  • Communicates with patients, clinical partners, financial counselors and others necessary to facilitate authorization process
  • Ensures timely and accurate insurance authorizations are in place prior to services being rendered
  • Answer accurately to provider, staff and patient questions involving insurance issues
  • Provide cost estimates for procedures
  • Follow departmental policies and procedures
  • High level of understanding all aspects of insurance read outs and posting of payments or denials
  • Follow up on all outstanding and/or unpaid claims investigating reasons for denial or nonpayment
  • Communicate with payors to achieve resolutions
  • Report findings to department supervisor and Practice Administrator

Job Type

Full Time

Monday - Friday

8:00am - 5:00pm


  • Medical / Dental / Vision Insurance
  • 401 K and employer matching
  • FSA
  • Paid Time Off
  • Life Insurance
  • Tuition Reimbursement

Do not contact this company in solicitation of any product or service.

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