Senior Insurance Specialist

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🔥 21 minutes ago

🏄 California – Remote

🏄 California – Remote

💵 $22 - $26 / hour

⏰ Full Time

🟠 Senior

🔒 Insurance

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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. • 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

🎯 Requirements

• Diploma/GED • 2+ Medical Billing/Follow-up experience • 2+ Medicare, Medicaid, and commercial payor experience required • 2+ Experience with Benchmark and/or Star McKesson • 2+ years California payer experience • 2+ years Hospital Billing 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) • Must be willing to submit for a background check • Candidates must be legally authorized to work in the United States

🏖️ Benefits

• 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