Insurance Authorization Rep

Blue Cloud•Phoenix, AZ

8d•Remote

About The Position

Blue Cloud is the largest pediatric Ambulatory Surgery Center (ASC) company in the country, specializing in dental restorative and exodontia surgery for pediatric and special needs patients delivered under general anesthesia. We are a mission-driven company with an emphasis on providing safe, quality, and accessible care, at reduced costs to families and payors. As our network of ASCs continues to grow, we are actively recruiting a new Patient Service Coordinator to join our talented and passionate care teams. Our ASC based model provides an excellent working environment with a close-knit clinical team of Dentists, Anesthesiologists, Registered Nurses, Registered Dental Assistants and more. We’d love to discuss these opportunities in greater detail, and how Blue Cloud can become your new home! OUR VISION & VALUES At Blue Cloud, it’s our vision to be the leader in safety and quality for pediatric dental patients treated in a surgery center environment. Our core values drive the decisions of our talented team every day and serve as a guiding direction toward that vision. We cheerfully work hard We are individually empathetic We keep our commitments

Requirements

High School Diploma or Equivalent
Ability to effectively handle multiple responsibilities simultaneously in a deadline driven environment.
Strong understanding of benefits investigating; deductibles, co-insurance, out of pocket expense & benefit exclusions
Insurance verification: 1 year (Preferred)
Medical billing: 1 year (Preferred)

Nice To Haves

Associates degree
Additional coursework in medical/dental billing
Previous experience with medical/dental billing software systems
3-5 years in a fast-paced medical/dental office environment
Knowledge of patient registration, scheduling, authorizations, billing, and dental/medical policies
Working knowledge of Medicare, Medicaid, BC/BS, Workers Compensation, Managed Care, and Commercial insurance carriers billing regulations
Strong organization, problem-solving and communication skills

Responsibilities

Perform insurance verification and authorizations.
Heavy phone contact with dental and medical insurance companies.
Communicate with insurance companies’ authorization department regarding any CPT/CDT code discrepancies (as assigned).
Contact patient prior to appointment if there are any insurance/ authorization issues.
Serves as a valuable resource to patients, providing them with pertinent information regarding their insurance coverage.
Accurately enter insurance information into computer system.
Responsible for pre-certification/ authorization and insurance verification for all patients.
Obtain prior authorization for procedures.
Research follow up and resolve open & pending authorizations in a timely manner.
Calculate cash estimates for patients on upcoming visits/ procedures.
Contact patients regarding financial obligations and arranging payments.
Documents activity in the patient accounts.
Concisely, precisely and accurately document all information.
Maintain clear communication with patients as well as insurance companies.
Maintain strict confidentiality of patient and center related business.
Scanning medical documents into patient accounts.
Answer questions from clinics, patients, insurance companies, and staff.
Maintain patient confidentiality and adhere to HIPAA guidelines / regulations.
Perform tasks based on set task schedule.
Perform general office duties as needed.