What are the responsibilities and job description for the Prior Authorization / Insurance Verification Specialist position at Advanced Maintenance Solutions, LLC?
Job Title/Position: Billing Associate
Pay: $18 - $20 per hour
Benefits: Medical, dental, and vision insurance, 401k (with match), and paid vacation.
Reports To: Director of Billing
WHO ARE WE?
At Home Quality Care was founded in 1983 in a rural area 50 miles west of Chicago. We soon became a leading provider of comprehensive home health and non-medical home care services throughout the region. Today, we deliver care with seven branches throughout Illinois, Indiana and Texas and continue to grow. Driven by a simple mission to provide the BEST care for our patients, At Home Quality Care is looking for the BEST professionals to join our growing team!
Position Summary:
The Billing Associate is part of the billing team and works closely with outside entities, such as healthcare providers, insurance companies and other legal entities, and staff throughout the organization.
The position is responsible for processing medical record requests, insurance verifications, prior authorization requests, billing, and following up on denials/and or unpaid claims.
Responsibilities:
Pay: $18 - $20 per hour
Benefits: Medical, dental, and vision insurance, 401k (with match), and paid vacation.
Reports To: Director of Billing
WHO ARE WE?
At Home Quality Care was founded in 1983 in a rural area 50 miles west of Chicago. We soon became a leading provider of comprehensive home health and non-medical home care services throughout the region. Today, we deliver care with seven branches throughout Illinois, Indiana and Texas and continue to grow. Driven by a simple mission to provide the BEST care for our patients, At Home Quality Care is looking for the BEST professionals to join our growing team!
Position Summary:
The Billing Associate is part of the billing team and works closely with outside entities, such as healthcare providers, insurance companies and other legal entities, and staff throughout the organization.
The position is responsible for processing medical record requests, insurance verifications, prior authorization requests, billing, and following up on denials/and or unpaid claims.
Responsibilities:
- Retrieve patient records as requested by healthcare providers, insurance companies, patients, and other legal entities in a timely manner and verifying that records for patients include all information requested
- Communicate effectively to clarify documentation requirements and resolve any discrepancies
- Verify eligibility and benefits using electronic portals and via telephone to determine patient’s eligibility, coverage, co-insurance, and deductibles
- Initiate and follow-up on prior authorizations as required by the patient’s insurance company
- Assist with follow-up on unpaid claims and or denials
- In addition to the above responsibilities, you may perform other work within the company as assigned
- Basic PC experience and office equipment skills (Word/Excel/Adobe preferred)
- Home Health experience/knowledge preferred
- Ability to be well organized, detail-oriented, and possess critical thinking skills
- Strong, professional, and courteous interpersonal and communications skills
Salary : $18 - $20
