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Patient Services Specialist

GSPP Rehabilitation • Philadelphia, PA, US • published 2026-09-27 09:51:17.703197

Description

* **JOB SUMMARY** + The Health Insurance Specialist plays a critical role in ensuring financial stability and operational efficiency by proactively managing insurance verification, authorization processes, and denial mitigation. This position directly supports timely revenue cycle operations and enhances the patient experience through accurate financial transparency and service excellence. - **Insurance Verification \& Eligibility Management** * Ensure 48\-hour compliance for insurance eligibility verification and maintain real\-time dashboards for re\-verification and insurance changes. * Support same\-day verification for clinic care models and add\-on scheduling to ensure coverage is confirmed prior to patient arrival or treatment. * Demonstrate proficiency in payer portals and maintain expert\-level knowledge of insurance guidelines, including network status, therapy coverage rules, and Medicaid\-specific regulations. * Accurately identify patient financial responsibility to reduce days in Accounts Receivable (AR) and improve upfront collections. - **Financial Accuracy \& Patient Responsibility** * Perform financial functions with precision, including copay collection and payme...

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