• Completes accurate and timely insurance verification.
• Completes accurate and timely third party prior payer authorization requests, including ensuring all necessary data elements needed for an authorization (e.g., CPT codes, diagnosis codes) are available.
• Ensures services scheduled by outside providers have approved authorization as required by payer and procedure to prior service.
• Communicates with patients, insurers and other appropriate parties pertaining to insurance verification and authorization.
• Provides clear documents for clearance /authorization to proceed with office visits and/or procedures
• Creates a positive patient experience by being polite, compassionate and professional.
• Provides cross-coverage and training when needed for other team members.
• Maintains productivity and quality performance expectations.
• Regular attendance is required to carry out the essential functions of the position.
• Reviews and meets ongoing competency requirements of the role to maintain the skills, knowledge and abilities to perform within scope role specific functions.

Requirements

• Previous experience in insurance verification preferred.
• Experience in claims verification and submission.
• Experience with Accounts Receivable (AR), Explanation of Benefits (EOB), and claims processing/follow-up is highly preferred.
• Experience using Athenahealth (Athena) is highly beneficial.
• Experience with U.S. health insurance authorization processes.
• Strong understanding of insurance eligibility verification, prior authorizations, and payer requirements.

Independent Contractor Perks

• Health insurance in eligible locations

• Permanent work from home

• Immediate hiring

Note

• Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.