Insurance Eligibility

🕒 Abril 25

🐊 Florida – Remoto

🐊 Florida – Remote

💵 $18 - $20 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🔒 Seguros

🚫👨‍🎓 Sem graduação necessária

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GetixHealth

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2012

💼 Consultoria

📦 Logística

🛡️ Seguros

💰 Private Equity Round - Getix em 2015-01

Consulting • Logistics • Insurance

A GetixHealth é uma empresa de gerenciamento de ciclo de receita em saúde que oferece suítes de software baseadas em SaaS e serviços dedicados a hospitais, grupos de médicos e parceiros do setor. Suas soluções abrangem acesso de pacientes, elegibilidade e inscrição, compensação de trabalhadores, resolução de seguros, codificação e auditorias de prontuários, faturamento de auto-pagamento e serviços profissionais de RCM voltados para melhorar o desempenho financeiro, a produtividade e a experiência do paciente. A GetixHealth faz parceria com grandes sistemas e provedores de saúde para automatizar e integrar fluxos de trabalho do ciclo de receita e otimizar a cobrança e operações.

Descrição

• Verify patient insurance eligibility and benefits prior to scheduled services. • Confirm active coverage, copays, deductibles, coinsurance, and patient responsibility estimates. • Identify prior authorization requirements and escalate when needed. • Track outstanding insurance claims (Accounts Receivable / AR). • Contact insurance companies by phone, payer portals, or email to check claim status. • Investigate denials, underpayments, rejections, and missing claim information. • Correct claim issues and resubmit claims when necessary. • Document all account activity and insurance updates accurately in the billing system. • Escalate complex or long-pending claims to supervisors or billing leadership. • Collaborate with scheduling, billing, and provider teams to prevent delays and claim denials. • Maintain compliance with HIPAA, payer guidelines, and internal policies. • Meet productivity, quality, and turnaround expectations in a high-volume environment.

🎯 Requisitos

• High school diploma or GED required. • Bachelor’s degree preferred. • 2+ years of experience in insurance follow-up, eligibility verification, medical billing, or healthcare revenue cycle operations preferred. • Experience with AR follow-up, claims resolution, and payer portals required. • Experience working with Medicare, Medicaid, and commercial insurance plans preferred. • Strong understanding of insurance benefits, authorizations, and denial resolution. • Prior remote work experience preferred. • Strong verbal and written communication skills. • Proficiency in Microsoft Office and healthcare systems. • Experience with EHR systems and billing platforms preferred. • Must be able to type a minimum of 35 words per minute (WPM) with no more than 3 errors.

🏖️ Benefícios

• Comprehensive Health Coverage: Group medical, dental, and vision plans available from the first day of the month following 90 days of full-time employment. • Life and Disability Insurance: Basic life/AD&D, short-term, and long-term disability coverage provided, with options for voluntary life/AD&D. • 401(k) Retirement Savings Plan: Eligible to participate in the company’s 401(k) plan at the beginning of the first calendar quarter following 6 months of continuous service. • Paid Time Off (PTO): Accrue Paid Time Off starting on your first day of employment. • Flexibility in Benefits: The company reserves the right to amend, modify, or terminate any benefits programs as needed.