Prior Authorization Representative
We will be hiring for Prior Authorization/Insurance Verification Representatives working remote at our Healthcare client! These are remote US roles. Must have reliable internet, dedicated workspace and be able to work 12pm-9pm EST hours, M-F. Hours: M-F, 12PM-9PM EST Pay Rate: $18/hr Start Date: 6/22 100% Remote US - equipment is provided This is a contract role - project based with possibility for extension or permanent placement. Must have previous Medical Billing, Prior Authorization, or Insurance Verification experience handled obtaining, verifying, and coordination of benefits. Job Duties:
- Obtain and verify insurance eligibility for services provided and document complete information in system
- Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
- Collect any clinical information such as lab values, diagnosis codes, etc.
- Determine patient’s financial responsibilities as stated by insurance
- Configure coordination of benefits information on every referral
- Ensure assignment of benefits are obtained and on file for Medicare claims
- Bill insurance companies for therapies provided
- Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
- Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
- Handle inbound calls from patients, physician offices, and/or insurance companies
- Resolve claim rejections for eligibility, coverage, and other issues
Please send your email to [email protected] for next steps! salary: $17.99 - $18 per hour shift: First work hours: 12 PM - 9 PM education: High School
Responsibilities
- Obtain and verify insurance eligibility for services provided and document complete information in system
- Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
- Collect any clinical information such as lab values, diagnosis codes, etc.
- Determine patient’s financial responsibilities as stated by insurance
- Configure coordination of benefits information on every referral
- Ensure assignment of benefits are obtained and on file for Medicare claims
- Bill insurance companies for therapies provided
- Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
- Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
- Handle inbound calls from patients, physician offices, and/or insurance companies
- Resolve claim rejections for eligibility, coverage, and other issues
Skills
- Insurance Verification (1 year of experience is required)
- Prior Authorization (1 year of experience is required)
- Customer Service (1 year of experience is required)
- computer skills
Qualifications
- Years of experience: 1 year
- Experience level: Entry Level
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