Senior Insurance Specialist - Mountain or Pacific Time Zone (Remote)

Med A/Rx•,

10d•$22 - $26•Remote

About The Position

Meduit is a national leader in healthcare revenue cycle management, supporting hospitals and physician practices in 48 states. We focus on optimizing payments, allowing clients to focus on patient care, and pride ourselves on our core values: Integrity, Teamwork, Continuous Improvement, Client-Focused, and Results-Oriented. The Senior Insurance Specialist role is highly focused on the resolution of insurance processing errors and denials and works to resolve hospital and physician billing challenges. You will utilize your expertise in patient billing, claims submission, and payer guidelines (Medicare, Medicaid, &, commercial insurers) to effectively work with insurance companies, resolve issues, and ensure accurate and timely payments.

Requirements

Diploma/GED
2+ Medical Billing/Follow-up experience
2+ Medicare, Medicaid, and commercial payor experience required
2+ Experience with Benchmark and/or Star McKesson
2+ years California payer experience
2+ years Hospital Billing experience
Proficiency with PC-based applications (Microsoft Outlook, Word, and Excel)
Download speed of 30MB or higher & upload speed of 10MB or higher are REQUIRED.
Access to a Secure and Private workspace (a space in which no one can hear or see you as you may have protected health information on your screen or you may say names, social security numbers or other PHI)
Must be willing to submit for a background check
Candidates must be legally authorized to work in the United States at the time of hire
The company does not provide employment visa sponsorship for this position
As a condition of employment, a pre-employment background check will be conducted
At this time, we are unable to consider candidates residing in the state of New York for this position

Responsibilities

Reduce outstanding accounts receivable by managing claims inventory
Speak to patients and insurance companies in a professional manner regarding their outstanding balances
Gather information from patients, clients/family members, client clinical areas, government agencies, employers, third party payors and/or medical payment programs, etc. both in-person and by telephone to register patients, gather or update information, obtain referrals and pre-authorizations, complete appropriate forms, conduct evaluations, determine benefits and eligibility (insurance, public programs, etc.), determine financial responsibility and/or to identify sources of payment for services
Request, input, verify, and modify patient’s demographic, primary care provider, and payor information
Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
Answer questions by phone and provide quotes for services; identify financial resources, etc. in accordance with the client policies and procedures
Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.
Explain charges, answer questions, and communicate a variety of requirements, policies, and procedures regarding patient financial care services and resources to patients, staff, payors, and agencies
Work with Claims and Collections in order to assist patients and their families with billing and payment activities