Schedule:
- Monday to Thursday, 7:00 AM – 6:00 PM (Visalia, California, USA) with a 1-hour lunch break (10 hours per day)
- Total Paid Working Hours per Week: 40 hours
Independent Contractor Perks:
- Permanent work from home
- Immediate hiring
- Health Insurance Coverage for eligible locations
Responsibilities:
- Manage Referrals: Handle the end-to-end referral process, from initial request to appointment scheduling.
- Insurance Verification: Verify patient insurance eligibility, benefits, and coverage for requested services, specialist visits, and procedures.
- Prior Authorizations: Prepare, submit, and diligently follow up on prior authorization requests with various insurance companies in a timely manner.
- Communication Hub: Act as a liaison between patients, referring physician offices, specialty clinics, and insurance carriers to communicate statuses and resolve any issues.
- Documentation: Maintain meticulous and accurate documentation of all referral and authorization activities.
- Problem Resolution: Investigate and address any authorization denials, coordinating appeals or peer-to-peer reviews when necessary.
Requirements:
- Must have prior experience in a medical or healthcare setting with direct responsibility for medical insurance verification and the prior authorization process.
- Knowledge of different insurance plans (e.g., HMO, PPO) and their referral/authorization requirements.
- Exceptional attention to detail and superior organizational skills.
- Excellent professional written and verbal communication abilities.
- Ability to work independently, manage time effectively, and handle sensitive patient information with strict adherence to HIPAA guidelines.
- Prior experience with insurance portals is a plus.
Side Note
- This is a permanent work-from-home role under an Independent Contractor arrangement. Candidates must have their own computer and reliable internet connection, and are responsible for their own taxes and benefits. Professional hourly fees are established based on your performance in the application process.
Reminder
- Please follow the provided link to BruntWork’s Career Site to finish your initial application requirements, including the assessment questions, technical check, and voice recording. Submissions with all requirements fulfilled will receive priority review.