Insurance Specialist
Meduit | Driving Revenue Cycle Performance
full-time
Posted on:
Location Type: Remote
Location: United States
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Salary
💰 $16 - $18 per hour
About the role
- Reduce outstanding accounts receivable by managing claims inventory
- Speak to patients and insurance companies in a professional manner regarding their outstanding balances
- Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
- Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
- Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
- Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures
- Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
- Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
- Work with Claims and Collections in order to assist patients and their families with billing and payment activities
Requirements
- High School Diploma/GED
- 2+ years of Denials Management experience
- 2+ years Medical Billing/Follow-up experience
- Medicare, Medicaid, and commercial payor experience
- Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
- Employment eligibility: Must be legally authorized to work in the United States without sponsorship
- As a condition of employment, a pre-employment background check will be conducted
Benefits
- Comprehensive paid training
- Medical, dental, and vision insurance
- HSA and FSA available
- 401(k) with company match
- Paid Wellness Time and Holidays
- Employer paid life insurance and long-term disability
- Internal growth opportunities
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
Denials ManagementMedical BillingClaims ManagementEligibility VerificationPre-authorizationsPatient RegistrationFinancial Responsibility DeterminationData EntryCustomer ServiceBilling Procedures
Soft Skills
CommunicationInterpersonal SkillsProblem SolvingAttention to DetailProfessionalismOrganizational SkillsTimelinessEmpathyTeam CollaborationAdaptability
Certifications
High School DiplomaGED