Remote Insurance Verification & Authorization Specialist

Actalent; United States; Remoto; USD 22.000 - 31.000; Tempo integral

Benefícios oferecidos por esta vaga

Medical, dental & vision

401(k) Retirement Plan

Paid time off

Disability coverage

Resumo da vaga

Actalent is seeking an Insurance Verification Coordinator to verify insurance eligibility, obtain prior authorizations, and support patients, providers, and payors. This role involves high-volume communication and thorough documentation to ensure timely access to therapies.

Responsibilities include determining patient financial responsibility, coordinating benefits, and resolving claim issues while maintaining a high standard of accuracy and service.

Qualificações

• 1 year medical billing or insurance verification experience.
• Experience obtaining benefits from health plans and communicating those benefits to patients.
• Experience submitting prior authorizations to payors.
• Knowledge of verification, benefit verification, and COB processes.
• Familiarity with Medicare and commercial plans.
• Proficient data entry in electronic systems.
• Strong customer service and professional communication.
• Ability to handle high volume referrals with 95% quality.

Responsabilidades

• Obtain and verify insurance eligibility and benefits for services and medications.
• Perform prior authorizations with documentation from physician offices and payors.
• Collect clinical information to support coverage decisions.
• Determine patient financial responsibility including copays and deductibles.
• Coordinate benefits on referrals for correct billing.
• Ensure assignments of benefits for Medicare claims.
• Communicate with insurers regarding therapies and coverage questions.
• Document all communications regarding reimbursement and collection.
• Identify financial assistance resources for patients.
• Handle inbound calls from patients, offices, insurers.
• Research and resolve claim rejections.
• Process a high volume of referrals daily with accuracy.
• Meet performance metrics and maintain reliability.

Conhecimentos

Insurance verification

Prior authorizations

Patient communication

Documentation

Data entry

Attention to detail

High volume processing

Customer service

Formação

High school diploma

Bachelor's degree preferred

Ferramentas

EHR systems

Claims management systems

Descrição da vaga

Actalent is seeking an Insurance Verification Coordinator to verify insurance eligibility, obtain prior authorizations, and support patients, providers, and payors. This role involves high-volume communication and thorough documentation to ensure timely access to therapies.

Responsibilities include determining patient financial responsibility, coordinating benefits, and resolving claim issues while maintaining a high standard of accuracy and service.