Insurance Specialist – Eastern & Central Time Zones

🕒 Maio 12

❄️ Minnesota – Remoto

❄️ Minnesota – Remote

💵 $18 - $21 / hora

⏰ Tempo Integral

🟢 Júnior

🟡 Pleno

🔒 Seguros

🚫👨‍🎓 Sem graduação necessária

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Meduit | Driving Revenue Cycle Performance

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

Fundada em 2017

⚕️ Seguro de Saúde

🤖 Inteligência Artificial

☁️ SaaS

Healthcare Insurance • Artificial Intelligence • SaaS

Meduit | Impulsionando o Desempenho do Ciclo de Receita é uma empresa de gestão de ciclo de receita (RCM) na área da saúde, orientada pela tecnologia, que combina a expertise em RCM com IA, automação de processos robóticos, análises preditivas e ferramentas de engajamento do paciente para otimizar o fluxo de caixa, reduzir recusas e melhorar a satisfação do paciente para hospitais, sistemas de saúde e grandes práticas. Seus serviços incluem soluções pré-serviço, pré-registro centralizado, financiamento de pacientes, serviços de escritório de negócios, resolução de recusas, cobrança e acompanhamento, liquidação de contas a receber antigas, serviços de reembolso governamental e ofertas de IA como MeduitAI™, automação conversacional e robótica SARA, pré-autorização automatizada e acompanhamento de sinistros. A Meduit também oferece consultoria, relatórios e análises, staffing, recuperações especializadas e serviços completos de escritório de negócios para ajudar os provedores a acelerar a receita e mitigar desafios operacionais.

Descrição

• Reduce outstanding accounts receivable by managing claims inventory • Speak to patients and insurance companies in a professional manner regarding their outstanding balances • Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility, determine financial responsibility and/or to identify sources of payment for services • Request, input, verify, and modify patient’s demographic, primary care provider, and payor information • Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc. • Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc. • Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies • Work with Claims and Collections in order to assist patients and their families with billing and payment activities

🎯 Requisitos

• High School Diploma/GED • 2+ years of Denials Management experience • 2+ years Medical Billing/Follow-up experience • Medicare, Medicaid, and commercial payor experience • Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel) • Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED. • Access to a Secure and Private workspace • Employment eligibility: Candidates must be legally authorized to work in the United States at the time of hire • The company does not provide employment visa sponsorship for this position • As a condition of employment, a pre-employment background check will be conducted

🏖️ Benefícios

• Comprehensive paid training • Medical, dental, and vision insurance • HSA and FSA available • 401(k) with company match • Paid Wellness Time and Holidays • Employer paid life insurance and long-term disability • Internal growth opportunities