Authorization & Benefits Specialist
Electromed, Inc.
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $22 - $28 per hour
About the role
- Submitting and monitoring continuation-of-care authorizations
- Obtaining new authorizations when insurance changes occur for existing patients
- Serving as a liaison between patients, healthcare providers, and insurance companies
- Verifying benefits and submitting timely re-certification requests
- Efficiently managing both approval and denial outcomes
- Educating patients on complex reimbursement situations
- Accurately recording information to internal Patient Database
- Completing miscellaneous tasks to support the reimbursement team
- Handling denied recertifications in a timely manner
Requirements
- High School diploma or GED required; degree preferred
- Experience working with insurance companies in the capacity of benefits, coverage, and authorizations
- Experience working directly with third party or government payers
- Experience with medical terminology
- Knowledgeable of insurance requirements and can determine medical justification to ensure proper reimbursement
- Knowledge of Microsoft Office suite
- High attention to detail and accuracy with the ability to handle multiple priorities
- Self-starter, motivated, team-player
- Excellent written and verbal communication skills
- Demonstrated exceptional customer service skills
- Ability to prioritize and organize
- Strong analytical and problem-solving skills
- Active participant of continuous improvement
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical terminologyreimbursementauthorizationbenefits verificationrecertificationinsurance requirementsmedical justificationdata recordinganalytical skillsproblem-solving
Soft Skills
attention to detailcommunication skillscustomer serviceorganizational skillsprioritizationteam playerself-startermotivationcontinuous improvementmultitasking
Certifications
High School diplomaGED