Remote Patient Authorization & Eligibility Specialist

RiseMe; McKinney (TX); On-site; USD 36,000 - 48,000; Full time

Job summary

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually.

POSITION SUMMARY: Responsible for verifying eligibility, benefits, and providing time of service estimates. This is a remote position, but will need to reside in North Texas or Oklahoma.

Qualifications

• High school diploma or equivalent.
• Previous verification experience preferred.
• Must have good verbal and written communication skills.
• Ability to organize and interpret data.
• Ability to utilize good judgment to problem solve.
• Ability to work independently and in a team environment.
• Ability to use a computer, related software/programs, and multiple screens.
• Ability to work onsite or remote as needed.

Responsibilities

• Verify patient’s insurance eligibility, benefits and auth requirements via online or phone.
• Calculate and provide Time of Service Estimates.
• Demonstrate and apply knowledge of medical terminology, HIPAA compliance, and general medical office procedures.
• Communicate any insurance changes or trends among the team.
• Maintain a level of productivity suitable for the department.
• Document all communications with providers and personnel in standardized formats.
• Update data entry errors for clean billing purposes.
• Request clinical/medical records when needed.
• Other duties as assigned.

Skills

Verbal communication

Written communication

Data interpretation

Problem solving

Team player

Computer skills

Remote work capable

Education

High school diploma

Job description

Lumexa Imaging is one of the country's largest providers of outpatient medical imaging. With over 5,000 team members and more than 185 outpatient imaging centers across 13 states, our team conducts more than 4 million outpatient studies annually.

POSITION SUMMARY: Responsible for verifying eligibility, benefits, and providing time of service estimates. This is a remote position, but will need to reside in North Texas or Oklahoma.