Financial Clearance Specialist
Gastro Health•Miami, FL
•Remote
About The Position
Gastro Health is seeking a Remote Full-Time Insurance Collections Specialist to join our team! Gastro Health is a great place to work and advance in your career. You'll find a collaborative team of coworkers and providers, as well as consistent hours. This role offers: A great work/life balance No weekends or evenings – Monday thru Friday Paid holidays and paid time off Rapidity growing team with opportunities for advancement Competitive compensation Benefits package
Requirements
- High School diploma/GED required.
- 1 year of related experience, or any combination of education or experience that provides the required knowledge, skills and abilities to perform the job.
- Knowledge of medical terminology utilized in insurance financial clearance, medical collections and billing (CPT, ICD-9, HCPCS).
- Previous Experience with OH Insurance Payers and obtaining prior authorizations.
- Able to give patient benefit information regarding surgical GI procedures
- Able to determine if an insurance policy requires an insurance referral
- Previous experience with remote work
Nice To Haves
- Bachelor Degree preferred, but not required.
- Experience in a healthcare environment or a healthcare claims environment is a strong plus.
Responsibilities
- Meets Quantity (100%) and Quality Required Benchmark (90% - To be evaluated through audits)
- Denial and rejection rate of less than 10% to demonstrate capability to effectively verify patient benefits and obtain required authorizations. (Effectiveness to be monitored in Visiquate and Waystar systems)
- Able to effectively manage assigned schedule to include verification of all insurance authorization requirements, benefits and patient demographics at the designated days out timeframe.
Benefits
- Medical
- Dental
- Vision
- Spending Accounts
- Life / AD&D
- Disability
- Accident
- Critical Illness
- Hospital Indemnity
- Legal
- Identity Theft
- Pet
- 401(k) retirement plan with Non-Elective Safe Harbor employer contribution for eligible employees
- Discretionary profit-sharing with employer contributions of 0% - 4% for eligible employees
- Tickets at Work that provides discounts on concerts, travel, movies, and more.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
