Insurance Eligibility

🕒 il y a 2 mois

🐊 Florida – Distant

🐊 Florida – Remote

💵 $18 - $20 / heure

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🔒 Assurance

🚫👨‍🎓 Aucun diplôme requis

Postuler Maintenant

Trouver des Emplois à Distance Similaires

Recevoir des emails pour des emplois à distance

📊 Vérifiez votre score de CV pour ce poste

Améliorez vos chances d'obtenir un entretien en vérifiant votre score de CV avant de postuler.

Télécharger le CV

GetixHealth

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2012

☁️ SaaS

🤝 B2B

💰 Private Equity Round - Getix en 2015-01

SaaS • B2B

GetixHealth est une entreprise de gestion du cycle de revenus de la santé qui fournit des suites logicielles basées sur le SaaS et des services dédiés aux hôpitaux, aux groupes de médecins et aux partenaires de l'industrie. Leurs solutions couvrent l'accès aux patients, l'éligibilité et l'inscription, les accidents du travail, le règlement des assurances, la codification et les audits de dossiers, la facturation des auto-paiements et les services professionnels de gestion du cycle des revenus (RCM) visant à améliorer la performance financière, la productivité et l'expérience des patients. GetixHealth collabore avec de grands systèmes de santé et des prestataires pour automatiser et intégrer les workflows du cycle de revenus et optimiser les recouvrements et les opérations.

Description

• 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.

🎯 Exigences

• 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.

🏖️ Avantages

• 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.