Front End Insurance Specialist

TEKsystems•Hagerstown, MD

2d•$15 - $19•Onsite

About The Position

Obtains authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner. Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email. Obtains additional pre-certification as needed. Consults w ith the agency as needed for all private insurance referrals and documents/communicates via the software application in a timely manner. Serves as a liaison between the branch location and the payer on a regular basis. Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner. Accesses authorizations via email, telephone, fax, and/or on-line application in the most efficient and timely manner. Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner. Problem solves independently before referring issues to the Supervisor/Manager for resolution. Performs eligibility and or similar, comparable, or related duties as may be required or assigned.

Requirements

medical
insurance
admin assistant
customer service
Administrative assistance
Customer service oriented
Emr
Customer support
call center
clerical support
administrative support
computer support
Ehr
data entry

Responsibilities

Obtains authorization from payer’s case manager for services ordered/requested for prospects/ referrals in a timely manner.
Documents specific details related to the authorization including effective and end dates using the appropriate legacy system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email.
Obtains additional pre-certification as needed.
Consults w ith the agency as needed for all private insurance referrals and documents/communicates via the software application in a timely manner.
Serves as a liaison between the branch location and the payer on a regular basis.
Coordinates and communicates with the branch location regarding any changes or updates from the payer in a timely manner.
Accesses authorizations via email, telephone, fax, and/or on-line application in the most efficient and timely manner.
Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner.
Problem solves independently before referring issues to the Supervisor/Manager for resolution.
Performs eligibility and or similar, comparable, or related duties as may be required or assigned.