• Develop and maintain working knowledge of current products and services offered by the company. • Review all required documentation to ensure accuracy. • Maintains an extensive knowledge of different types of payer coverage and insurance policies. • Responsible for verifying patient insurance coverage, to ensure necessary procedures are covered by the individual’s insurance accurately. • Complete insurance verification to determine patient’s eligibility, coverage, co-insurances, and deductibles. • Obtain pre-authorization if required by an insurance carrier and process physician orders to insurance carriers for approval and authorization when required. • Resolves any issues with coverage and escalates complicated issues to a Manager. • Completes accurate patient demographic and insurance entry into EMR databases. • Responsible for entering data in an accurate manner, into EMR databases. • Must be able to navigate through multiple online EMR systems to obtain applicable documentation. • Communicate with Customer Service and Management on an on-going basis regarding any noticed trends with insurance companies. • Verify insurance carriers are listed in the company’s database system, if not request the new carrier is entered. • Responsible for contacting patient when documentation received does not meet payer guidelines to provide updates and offer additional options to facilitate the referral process. • Meet quality assurance requirements and other key performance metrics. • Facilitate resolution on customer complaints and problem solving.