Share this job SVGs not supported by this browser. Description · Respond to incoming referrals, verify demographic and insurance information, and assess the organizationâs ability to meet patient needs. · Retrieve and secure insurance authorizations and document all interactions per policy · Review authorizations to ensure proper coding (including modifiers) and coverage · Request, track, and obtain pre-authorization from insurance carriers · Collaborate with Billing Department on account updates and authorization activity. · Assist with denials by obtaining clinical information, ICD-10 coding, or other details to correct errors. · Communicate with referral sources, patients, and internal teams to resolve issues and provide alternative resources when needed. · Conduct courtesy follow-ups, participate in training, and ensure compliance with policies and values. · Maintain charts, records, and databases of patient authorizations · Stay informed on authorization requirements for all payors and regulatory guidelines. Requirements · High School Diploma or GED required · 1-3 years of billing and/or accounts receivable experience · Strong knowledge of payer guidelines related to claim submission · Familiarity with payer websites and billing resources · Basic medical coding/terminology and insurance practices · Proficiency in MS Office and ability to learn agency-specific software · Solid phone communication with empathy, patience, and professionalism · Ability to work independently, manage time effectively, and quickly learn program structures and procedures. Benefits Why this job is AWESOME: Join us and you will seeâ¦we donât do things like everyone else. We are the newest and fastest growing in popularity for mobile healthcare servicing long-term care facilities. Itâs no secret how we're accomplishing this⦠itâs our incredible team members and the winning culture weâre building! If you are looking for an amazing practice to work for, grow, learn, and have a blast - this is it. Great team! We spend a ton of time hiring and training the best people. Great pay! We pay very well. Great opportunities! We're growing and we like to promote from within. If you're a true rock star, the opportunities are limitless! Apply for this job
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