Insurance authorization

MedBridge is a leading provider of sleep laboratory management services and sleep therapy. We partner with hospitals and physician practices to offer comprehensive fully-integrated services for patient identification, testing, diagnosis, treatment and long-term care management of patients with sleep disorders.

Insurance Authorization and Scheduling Specialist

• Remote is a privilege not an entitlement. If productivity and / or professionalism is not adhered to, termination will occur.
• Must live in the following states and be on EST : CT, DE, DC, FL, GA, MD, NY, NC, OH, PA, SC, VA, or WV

A key member of any health care provider is an Insurance Verification Specialist. They are primarily responsible for making sure patients have proper insurance coverage for the services provided by the clinic.

A strong candidate will be able to successfully handle face-to-face and over the phone interactions with patients and their insurance companies to give the patient the best care possible.

Supporting the success of the practice by accepting responsibility for timely authorizations through insurance and worker's compensation carriers.

This individual will ensure / monitor all referrals for office visits, perform procedure pre-authorization / pre-certifications, prepare case management paperwork, contact insurance companies, and efficiently document all work / responses.

The employee would also assist with scheduling of procedures when necessary as well as notifying the patient of the appointment and its requirements.

Additional requirements would be to check all upcoming consult visits for appropriate referrals and update the system with patient demographic and insurance information as needed.

We are looking to welcome someone who has experience in a medical office setting. Responsibilities include but are not limited to :

Job Responsibilities Insurance Authorization :

• Verifying insurance coverage of each patient
• Obtaining referrals for patients when they are not covered
• Updating patient information / keeping records
• Filling out documentation required for billing
• Strong computer skills, ability to multi-task and work as part of team in fast paced office environment.
• Verifying insurance benefits, calling patients, scheduling appointments, scanning, faxing, sending / checking emails, obtaining prior authorizations.
• Experience in insurance verification preferred one year (must have utilized insurance portals, etc.)
• Working knowledge of insurance coverage as it relates to benefits, exclusions and co-insurance
• Practical knowledge of completing online benefits verification, authorization and eligibility websites is required.
• Detail-oriented would rather focus on the details of work than the bigger picture
• High stress tolerance job is within a high-pressure environment.
• 90 day no missed day probation after starting ( no late, no leave early)

Job Responsibilities for Patient Service :

• Answering calls on a constant basis
• Performing patient intake and scheduling tasks
• Obtaining patient demographic information and insurance details
• Accurately-entering demographic and insurance data into Electronic Medical Records system
• Answering patient questions, inquiries, and concerns regarding accounts
• Assisting with screening calls and taking messages
• Completing insurance verifications and authorizations for studies in a timely and accurate manner
• Ensuring insurance coverage meets necessary requirements for scheduled services
• Communicating with referral sources to obtain additional information needed for scheduling and / or to update on patient scheduling statuses
• Performing other duties as required or assigned
• 90 day no missed no leave earlies, no late probation after start

Qualifications :

• High school diploma or GED
• 2 years experience in medical scheduling and insurance authorization experience
• Familiarity with medical terminology
• Work experience with insurance companies
• Clear communication skills
• Detail-oriented focus
• Must have the ability to work remote with no interruptions as mirroring an office environment - after 90 days of in office training
• Must have excellent attendance record at last position(s)
• Must have appropriate home internet speeds

Location :

Remote is a privilege not an entitlement. If productivity and / or professionalism is not adhered to, termination will occur.

Benefits :

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off
• 401k with company match
• Others

Our Interview process will consist of a phone interview with our HR Department, followed by a video interview with the hiring manager.

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Last updated : 2024-11-22