Job Description
Benefits: Job Summary Medical billing company located in Tempe, Arizona is seeking a Remote/Work from Home Insurance Verification Specialist for 20-35 hours per week. This position is a 1099 position. As a critical member of our team, demeanor, and confidentiality is a crucial aspect of this position. This person will be an important member of our team and must be willing to perform a specific set of skills.
We are looking for a fun, positive person who is detail oriented and can multi-task with great energy. Previous medical billing experience and experience with a certified medical billing software is required.
Essential Functions: - Verify patients medical plan benefits and requirements according to their specific medical policy, to ensure necessary procedures are covered by an individual’s provider and maximum payment for services rendered.
- Handle incoming and outgoing communications from internal team members, insurance payers, and customers related to insurance benefits.
- Identify important patient and demographic information that are missing and update information to avoid claim processing issues with the insurer.
- Determine if prior authorization and/or gap exception is required for ordered services.
- Ensures appropriate clinical documentation is available and complete before submitting the prior authorization and/or gap exception.
- Send clinical documentation to the insurance company for review and approval.
- Follow up with insurance companies to ensure documentation has been received and prior authorization and/or gap exception is in process.
- Obtain and review prior authorization and/or gap exception approval and upload approval documentation to the patient’s chart.
- Communicate to our providers that the approval is complete through a ticket application.
- Ensure security and confidentiality of data and office technology.
- This is a work from home/remote position as an Independent Contractor.
Qualifications: - General knowledge of insurance cards, medical insurance terminology, medical benefits, and CPT and ICD 9/10 coding required.
- Microsoft Office experience required.
- Previous experience with a medical billing company in verifying benefits and/or pre-authorizations.
- Previous experience with certified medical billing software.
- Excellent communication and interpersonal skills.
- Attention to accuracy and detail in all aspects of responsibilities.
- The ability to manage priorities and focus on completing tasks efficiently and within time frames.
- Experience performing research utilizing the Internet.
- Excellent organizational skills.
- Updated computer system including but not limited to high-speed internet, Microsoft 360, 2 or more monitors, and willingness to have your computer system encrypted to maintain HIPPA compliance.
This is a remote position.
Job Tags
For contractors, Remote job, Work from home, Flexible hours,