Insurance Specialist – Eastern, Central Time Zones

🕒 il y a 7 jours

❄️ Minnesota – Distant

❄️ Minnesota – Remote

💵 $18 - $21 / heure

⏰ Temps Plein

🟢 Junior

🟡 Intermédiaire

🔒 Assurance

🚫👨‍🎓 Aucun diplôme requis

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Meduit | Driving Revenue Cycle Performance

Site WebLinkedInTous les Emplois

1001 - 5000 employés

Fondée en 2017

🤝 B2B

🤖 Intelligence artificielle

☁️ SaaS

B2B • Artificial Intelligence • SaaS

Meduit | Optimiser la Performance du Cycle de Revenus est une entreprise de gestion du cycle de revenus dans le secteur de la santé qui associe l'expertise des opérations RCM à l'IA, l'automatisation des processus robotiques et des analyses avancées pour aider les hôpitaux, les systèmes de santé et les grandes pratiques médicales à accélérer le flux de trésorerie, à réduire les refus de réclamations et à améliorer les expériences de paiement des patients. L'entreprise propose des services de bout en bout — pré-enregistrement, facturation et suivi, résolution des refus, bureau d'affaires étendu, traitement des comptes clients hérités, recouvrement de créances douteuses, dotation en personnel et conseil — ainsi que des offres technologiques incluant MeduitAI™, SARA (un collaborateur autonome supervisé en revenus), des analyses prédictives et l'automatisation conversationnelle/de paiement.

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. 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

🎯 Exigences

• 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 (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI) • 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

🏖️ Avantages

• 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