Insurance Specialist – Prior Authorization

🕒 5 days ago

🏈 Ohio – Remote

🏈 Ohio – Remote

💵 $18 - $21 / hour

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔒 Insurance

🚫👨‍🎓 No degree required

Apply Now

Find Similar Remote Jobs

Receive Emails For Remote Jobs

📊 Check your resume score for this job

Improve your chances of getting an interview by checking your resume score before you apply.

Upload Resume

Meduit | Driving Revenue Cycle Performance

WebsiteLinkedInAll Job Openings

1001 - 5000 employees

Founded 2017

⚕️ Healthcare Insurance

🤖 Artificial Intelligence

☁️ SaaS

Healthcare Insurance • Artificial Intelligence • SaaS

Meduit | Driving Revenue Cycle Performance is a technology-driven healthcare revenue cycle management (RCM) company that combines RCM expertise with AI, robotic process automation, predictive analytics and patient engagement tools to optimize cash flow, reduce denials, and improve patient satisfaction for hospitals, health systems and large practices. Their services include pre-service solutions, centralized pre-registration, patient financing, business office services, denials resolution, billing & follow-up, legacy A/R work down, government reimbursement services, and AI offerings such as MeduitAI™, SARA conversational and robotic automation, automated pre-authorization and claims follow-up. Meduit also provides consulting, reporting & analytics, staffing, specialized recoveries and comprehensive business office services to help providers accelerate revenue and mitigate operational challenges.

📋 Description

• 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. • 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 • Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts • Explain charges, answer questions, and communicate requirements, policies, and procedures regarding patient financial care services to patients, staff, payors, and agencies • Work with Claims and Collections to assist patients with billing and payment activities

🎯 Requirements

• High School Diploma/GED • 2+ years of Denials Management experience • 2+ years Medical Billing/Follow-up experience • Medicare, Medicaid, and commercial payor experience • Experience with WC Pre-Access • 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: Must be legally authorized to work in the United States without sponsorship • Pre-employment background check will be conducted • Candidates residing in the state of New York cannot be considered.

🏖️ Benefits

• 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