Insurance Specialist – Prior Authorization

🕒 vor 15 Tagen

🗽 New York – Remote

🗽 New York – Remote

💵 $18 - $21 / Stunde

⏰ Vollzeit

🟢 Junior

🟡 Mittelstufe

🔒 Versicherung

🚫👨‍🎓 Kein Abschluss erforderlich

Jetzt Bewerben

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Meduit | Driving Revenue Cycle Performance

WebsiteLinkedInAlle Stellen

1001 - 5000 Mitarbeiter

Gegründet 2017

🤝 B2B

🤖 Künstliche Intelligenz

☁️ SaaS

B2B • Artificial Intelligence • SaaS

Meduit | Steigerung der Leistungsfähigkeit im Revenue Cycle Management ist ein Unternehmen für das Management von Gesundheits-Revenue-Cycles, das Expertenwissen im RCM-Operations mit künstlicher Intelligenz, Roboterprozessautomatisierung und fortschrittlicher Analytik kombiniert, um Krankenhäusern, Gesundheitssystemen und großen medizinischen Praxen dabei zu helfen, den Cashflow zu beschleunigen, Ablehnungen von Forderungen zu reduzieren und die Zahlungserfahrungen der Patienten zu verbessern. Das Unternehmen bietet End-to-End-Services — von der Vorregistrierung über Abrechnung und Nachverfolgung, Lösung von Ablehnungen, erweiterte Geschäftsstellen, Abarbeitung von Altforderungen, Inkasso von uneinbringlichen Forderungen, Personalvermittlung und Beratung — neben technologischen Angeboten wie MeduitAI™, SARA (eine betreute autonome Revenue-Assistentin), prädiktive Analytik und Konversations-/Zahlungsautomatisierung.

Beschreibung

• 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 (insurance, public programs, etc.), 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

🎯 Anforderungen

• 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 • As a condition of employment, a pre-employment background check will be conducted • At this time, we are unable to consider candidates residing in the state of New York for this position

🏖️ Vorteile

• 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