Insurance Verification Specialist
1 week ago
Connext Global Solutions is a dedicated team of business process outsourcing experts and innovators, with experience in supporting world-class companies in Title and Escrow, Healthcare, Produce Distribution, Retail and Fashion, Design Consulting, and Finance.
We are currently looking for a Procurement Associate who will be working with Connext's Client in the United States of America.
What's in it for you?
- Competitive compensation
- Perfect Attendance Bonus
- Life insurance
- HMO Insurance
- Great company culture
- Annual Merit Increase
- 25% Night Differential
- 10,000 pesos SIGN-ON BONUS
What is the job?
Screening Criteria:
- Minimum of one (1) year of experience with medical billing and/or understanding of benefits including deductibles, co-insurance, out of pocket and benefits exclusions.
- Must have a stable employment history.
- Can work onsite.
Job Description:
- Verify patient eligibility and benefits via portal and/or phone call, including collecting referral and authorization requirements, across multiple payers, states, insurance products, and specialties within customer SLAs.
- Work closely with providers to collect accurate patient and medical records and communicate authorization decisions.
- Expediently complete prior authorizations using insurance portals or calling insurers directly.
- Ensure authorization is approved in a timely manner by following up with insurers and providing additional information.
- Be responsible for handling multiple prior authorizations simultaneously and create processes to ensure top-of-the-line performance.
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