High school diploma or equivalent.
Experience in insurance verification, prior authorization, medical billing, reimbursement, or a related healthcare function.
Knowledge of commercial insurance, Medicare, Medicaid, and managed care plans.
Familiarity with medical terminology, CPT codes, and ICD-10 coding.
Experience using electronic health records (EHRs), insurance systems, and healthcare databases.
Knowledge of HIPAA and patient confidentiality requirements.
Insurance verification and prior authorization experience.
Knowledge of Medicare, Medicaid, and commercial insurance plans.
Experience working with electronic health records and healthcare systems.
Strong understanding of medical terminology.
Ability to navigate complex insurance processes and coverage requirements.
