Insurance Authorization Specialist Job at Medbridge Healthcare
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 Verification Specialist
A key member of any health care provider is an insurance verification specialist. He or she is 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:
Pay will start at 18/hour due to training unless Experience justifies otherwise
Job Responsibilities:
- 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
Qualifications:
- High school diploma or GED
- Previous billing experience preferred
- 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
- Must have excellent attendance record at last position(s)
- Must have appropriate home internet speeds
Location:
- Fully onsite at the Greenville, SC office - Must have the ability to work between the hours of 7:30am - 6pm EST Monday-Friday. Schedule will be discussed during the interview process.
Benefits:
- Health insurance
- Dental insurance
- Vision insurance
- Paid time off
- 401k with company match
- Other
Our Interview process will consist of a phone interview with our HR Department, followed by a video interview with the hiring manager.
EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER: MedBridge Healthcare LLC, and its subsidiaries, are dedicated to providing equal opportunities to all individuals regardless of race, color, religion, ethnic or national origin, gender, age, disability, sexual orientation, gender identity, gender expression, veteran's status, or any other factor that is a prohibited consideration under applicable law.
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