Insurance Authorization Specialist

Description

We are hiring for a Full Time Insurance Authorization Specialist (healthcare) to join our team! Schedule Monday - Friday 8am-5pm EST.

MedBridge Healthcare is a leading provider of sleep laboratory management services and sleep therapy. We partner with hospitals, universities, clinics, and physician practices to offer comprehensive fully integrated services for patient identification, testing, diagnosis, treatment, and long-term care management of patients with sleep disorders. 

**Must live in the following states and be on EST: DE, FL, GA, MD, NC, OH, PA, SC, or VA

**90 Day Probation Period: No missed days, no leave earlies, no late starts

A key member of any health care provider is an Insurance Authorization Specialist. They are primarily responsible for making sure patients have proper insurance coverage for the services provided by the clinic. A strong candidate will be able to successfully handle face-to-face and over the phone interactions with patients and their insurance companies to give the patient the best care possible. Supporting the success of the practice by accepting responsibility for timely authorizations through insurance and worker's compensation carriers. This individual will ensure/monitor all referrals for office visits, perform procedure pre-authorization/pre-certifications, prepare case management paperwork, contact insurance companies, and efficiently document all work/responses. Also, assist with scheduling when needed and any other duties assigned by the manager and/or direct supervisor.

Job Responsibilities Insurance Verification:

• Verifying insurance coverage of each patient
• Obtaining referrals for patients when they are not covered
• Updating patient information/keeping records
• Filling out documentation required for billing
• Strong computer skills, ability to multi-task and work as part of team in fast paced office environment.
• Verifying insurance benefits, calling patients, scheduling appointments, scanning, faxing, sending/checking emails, obtaining prior authorizations.
• Experience in insurance verification – preferred 2-3 years (must have utilized insurance portals, etc.)
• Working knowledge of insurance coverage as it relates to benefits, exclusions and co-insurance
• Practical knowledge of completing online benefits verification, authorization and eligibility websites is required.
• Detail-oriented -- would rather focus on the details of work than the bigger picture
• High stress tolerance – job is within a high-pressure environment.
• 90 day no missed day probation after starting ( no late, no leave early)
• Any other job related duties assigned

Qualifications:

• High school diploma or GED
• 2 - 3 years insurance authorization experience preferred
• Familiarity with medical terminology
• Work experience with insurance companies
• Clear communication skills
• Detail-oriented focus
• Must have the ability to work remote with no interruptions as mirroring an office environment
• Must have excellent attendance record at last position(s)
• Must have appropriate home internet speeds

Location:

• Remote **90 Day Probation Period: No missed days, no leave earlies, no late starts

Benefits:

• Health insurance
• Dental insurance
• Vision insurance
• Paid time off
• 401k with company match
• Others

EQUAL EMPLOYMENT OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER: MedBridge Healthcare LLC, and its subsidiaries, are dedicated to providing equal opportunities to all individuals regardless of race, color, religion, ethnic or national origin, gender, age, disability, sexual orientation, gender identity, gender expression, veteran's status, or any other factor that is a prohibited consideration under applicable law.