MEDICAL AUTHORIZATIONS & BILLING SPECIALIST
Descripción de la oferta de empleo
Data Accuracy.
Collects and reviews patient demographic and insurance data as part of the authorization process.
Documentation Management.
Collects and submits all necessary documentation and diagnoses needed for authorizations.
Follow-Up Expert.
Provides daily updates on the status of authorization requests to ensure optimum service delivery.
Reimbursement Maximiser.
Focused on ensuring maximum reimbursement through meticulous billing and coding for all services rendered.
Claims Specialist.
Manages the full claims process in our EHR, from creation to follow-up, handling insurance inquiries with expertise.
HIPAA Guardian.
Upholds the strictest confidentiality and adheres to all HIPAA regulations.
Insurance Liaison.
Confirms and documents the patient's health insurance details, including effective dates, network status, and coverage requirements.
Problem Solver.
Utilizes problem-solving skills to address any issues arising from insurance coverage or prior authorizations.
Knowledge Maintainer.
Keeps updated with contract limitations and details for each Managed Care Plan (MCP) and stays informed about the services and programs offered by Rooted Life.
Note.
We will not consider applicants without specific experience in creating and managing efficient billing processes.
PLEASE DO NOT CONTACT DIRECTLY.
The Profile Authorization Expert.
Brings extensive experience in insurance verification, prior-authorization, and team coordination.
Extremely Organized.
Able to manage complex processes and maintain meticulous records.
Collaborative Communicator.
Proficient in working across departments to gather and analyze client information, ensuring effective authorization and billing records.
Process Developer.
Experienced in creating smooth, efficient intake and authorization processes from start to finish.
Excellent English.
Must possess superb command of English, both written and spoken, to ensure clear and effective communication to effectively liaise with stakeholders in the region.
You have at least 5 years experience within a Authorizations and/or Medical Billing role, within the Healthcare industry You have working knowledge of Medical Billing, Revenue Cycle Management (RCM) and Insurance Authorizations and have developed processes in one or all of these areas You possess strong analytical skills and are comfortable dealing with numerical data You are highly goal driven and work well in fast paced environments You pay strong attention to detail and deliver work that is of a high standard Knowledge of insurance verification, prior-authorization, and office coordination The Employer Our client is a compassionate and innovative organization operating in California, dedicated to aiding those experiencing homelessness, recovering from hospital stays, or facing housing challenges.
Detalles de la oferta
- Snaphunt
- En todo México
- Sin especificar - Sin especificar
- 15/12/2024
- 15/03/2025
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