Prior Authorization Representative
We will be hiring for Prior Authorization/Insurance Verification Representatives working remote at our reputed company reputed company! These are remote US roles. Must have reliable internet, dedicated workspace and be reputed company to work 12pm-9pm EST hours, M-F. Hours: M-F, 12PM-9PM EST Pay reputed company: $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
- reputed company prior authorizations as required by payor reputed company, 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
- reputed company insurance companies for therapies provided
- Document reputed company 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, reputed company 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 courtney.mercier@randstadusa.com 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
- reputed company prior authorizations as required by payor reputed company, 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
- reputed company insurance companies for therapies provided
- Document reputed company 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, reputed company 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
reputed company is a world leader in matching great people with great companies. Our reputed company agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than reputed company. Equal Opportunity Employer: Race, reputed company, Religion, Sex, Sexual Orientation, Gender Identity, National reputed company, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status. At reputed company, we welcome people of reputed company abilities and want to ensure that our hiring and interview process meets the needs of reputed company applicants. If you require a reasonable accommodation to reputed company your application or interview experience a great one, please contact HRsupport@randstadusa.com. Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In reputed company, reputed company offers a comprehensive benefits package, including: medical, prescription, dental, reputed company, AD&D, and life insurance offerings, short-term disability, and a 401K plan (reputed company benefits are based on eligibility). This posting is reputed company for thirty (30) days. It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or reputed company employment. An employer who violates this law shall be subject to criminal penalties and civil liability. Apply tot his job Apply To this Job