Pre-Authorization Specialist (Remote)
About the position
Responsibilities
• Be well-versed in all processes and policies to respond clearly to high volume billing tasks and inquiries
• Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc)
• Identify issues and suggest potential improvements
• Collaborate with your team and develop best practices to ensure we are providing the best service and experience to all customers
• Maintain an assigned schedule, and be flexible with daily schedules when business needs change
• Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization
• Work directly with various vendors to ensure successful submissions of prior authorizations
• Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow ups, if necessary, to ensure timely approvals
• Stay informed about insurance policies and guidelines, ensuring that all prior authorization requests align with the necessary criteria
• Maintain accurate records of prior authorization requests, approvals, and denials. Enter relevant information into databases
• Participate in projects that extend beyond your day to day to stretch you to think outside the box
Requirements
• High School Diploma or equivalent required
• A minimum of 2+ years of insurance pre-authorizations experience within a healthcare/medical billings environment is required
• High-speed internet (50mbps connectivity)
• Private, quiet place to work remotely
• Exceptional attention to detail and organizational abilities
• Strong knowledge of medical terminology, insurance policies, and healthcare regulations
• High energy, be a self-starter, great teammate and ready to roll up your sleeves to get things done
• Possess a strong work ethic and commitment to improving patients' lives while being flexible and adaptable with a drive to go above and beyond
• Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
• Provide excellent customer service by addressing inquiries from healthcare providers, patients, and insurance representatives regarding prior authorization status and requirements
Nice-to-haves
• Experience using Google Apps, Mac OS X, and CRM applications (i.e. Salesforce) strongly preferred
• Associates preferred
Benefits
• Medical
• Dental
• Vision
• Life
• STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan
Apply Now
Apply Now
Responsibilities
• Be well-versed in all processes and policies to respond clearly to high volume billing tasks and inquiries
• Maintain appropriate response time in various communication platforms (Example: phone calls, chats, emails, portal inquiries, etc)
• Identify issues and suggest potential improvements
• Collaborate with your team and develop best practices to ensure we are providing the best service and experience to all customers
• Maintain an assigned schedule, and be flexible with daily schedules when business needs change
• Examine incoming orders to ensure completeness and accuracy of required documentation for prior authorization
• Work directly with various vendors to ensure successful submissions of prior authorizations
• Monitor the status of prior authorization requests, follow up on pending cases, and initiate follow ups, if necessary, to ensure timely approvals
• Stay informed about insurance policies and guidelines, ensuring that all prior authorization requests align with the necessary criteria
• Maintain accurate records of prior authorization requests, approvals, and denials. Enter relevant information into databases
• Participate in projects that extend beyond your day to day to stretch you to think outside the box
Requirements
• High School Diploma or equivalent required
• A minimum of 2+ years of insurance pre-authorizations experience within a healthcare/medical billings environment is required
• High-speed internet (50mbps connectivity)
• Private, quiet place to work remotely
• Exceptional attention to detail and organizational abilities
• Strong knowledge of medical terminology, insurance policies, and healthcare regulations
• High energy, be a self-starter, great teammate and ready to roll up your sleeves to get things done
• Possess a strong work ethic and commitment to improving patients' lives while being flexible and adaptable with a drive to go above and beyond
• Enjoys problem-solving in a dynamic, fast paced, team-based and rapidly changing environment
• Provide excellent customer service by addressing inquiries from healthcare providers, patients, and insurance representatives regarding prior authorization status and requirements
Nice-to-haves
• Experience using Google Apps, Mac OS X, and CRM applications (i.e. Salesforce) strongly preferred
• Associates preferred
Benefits
• Medical
• Dental
• Vision
• Life
• STD/LTD
• 401(k)
• Paid Time Off (PTO) or Flexible Time Off (FTO)
• Tuition Reimbursement
• Employee Stock Purchase Plan
Apply Now
Apply Now