Insurance Specialist - Prior Authorization (Remote) - Eastern Time zone

Meduit Group; Northern (KY); Hybrid; USD 24,796 - 28,929; Full time

Benefits offered by this job

Medical, dental, and vision insurance

401(k) with company match

Paid Wellness Time and Holidays

Job summary

Receivemorermp is seeking an Insurance Specialist - Prior Authorization to resolve insurance processing errors and improve hospital billing. The position is remote and requires experience in patient billing and working with payors such as Medicare and Medicaid.

Key responsibilities include managing claims, gathering patient information, and providing excellent customer service. The role offers a pay range of $18 to $21 per hour, extensive training, and benefits like medical insurance and a 401(k) plan.

Qualifications

• 2+ years of Denials Management experience.
• 2+ years Medical Billing/Follow-up experience.
• Experience with Medicare, Medicaid, and commercial payors.

Responsibilities

• Manage claims inventory and reduce outstanding accounts receivable.
• Resolve billing challenges and issues with insurance companies.
• Gather patient information for insurance claims.

Skills

Denials Management

Medical Billing

Customer Service

Problem-solving

Communication

Education

High School Diploma/GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

Job description

Pay or shift range: $18 USD to $21 USD. The estimated range is the budgeted amount for this position. Final offers are based on various factors, including skill set, experience, location, qualifications, and other job-related reasons.

Description

About Us: Meduitis a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. Learn more at www.meduitrcm.com.

About the Role: Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, & commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.

Title: Insurance Specialist - Prior Authorization

Schedule: 8am to 4:30pm Eastern Time Zone, Monday – Friday

Location: Remote

Paid Training: 3 weeks

Compensation: $18 - $21 per hour base

Key Responsibilities:

• 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

Core Values: Integrity, Communication, Problem-solving, Teamwork

Required Qualifications:

• 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 Workers Comp Pre-Access
• Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
• Download speed of 30MB or higher & upload speed of 10MB or higher REQUIRED. (you can test your speed here: https://speedtest.net/)
• 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: 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.

What We Offer:

• Medical, dental, and vision insurance
• HSA and FSA available
• 401(k) with company match
• PaidWellnessTimeandHolidays
• Employer paid life insurance and long-term disability
• Internal growth opportunities

Meduitis an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

Equal Opportunity Employer. This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.