Insurance Authorization & Billing Specialist

Health Partners Plans; Philadelphia (Philadelphia County); Presencial; USD 45 000 - 65 000; Tempo integral

Vantagens oferecidas por esta oferta de emprego

Medical insurance

Dental and vision coverage

Retirement plans

Tuition assistance

Resumo da oferta

Thomas Jefferson University Hospitals, Inc. is seeking a Financial Pre-Clearance role to handle insurance verification and pre-authorization for ambulatory surgery center operations. The role includes calculating physician estimates and delivering customer service for billing issues.

Weekend day shifts and regular employment at a major health system, enabling interaction with diverse staff and patients across the Jefferson network.

Qualificações

• Knowledge of Payor Portals and Insurance Rules for Authorization of OP Surgery.
• Knowledge of Estimates and Ins Benefit Analysis.
• Knowledge of Customer Service Basics/Billing and Coding updates.

Responsabilidades

• Verify and authorize insurance for ASC (all physicians and facility).
• Update and maintain patient registrations.
• Provide Physician Estimates.
• Provide Customer Service for Billing Issues.
• Work-queue related work on Billing Edits.

Conhecimentos

Payor Portals knowledge

Insurance Rules for Authorization

Estimates and Ins Benefit Analysis

Customer Service Basics/Billing and 0d

Formação académica

HS Diploma

Descrição da oferta de emprego

Thomas Jefferson University Hospitals, Inc. is seeking a Financial Pre-Clearance role to handle insurance verification and pre-authorization for ambulatory surgery center operations. The role includes calculating physician estimates and delivering customer service for billing issues.

Weekend day shifts and regular employment at a major health system, enabling interaction with diverse staff and patients across the Jefferson network.