Insurance Authorization and Billing Representative - Glen Burnie, MD

Description

Insurance Authorization and Billing Specialist – Glen Burnie, MD

Full-Time | Schedule Options: 8:00 AM–4:30 PM, 8:30 AM–5:00 PM, or 9:00 AM–5:30 PM

MedBridge Healthcare is seeking an Insurance Authorization and Billing Specialist, for our ReactDX division, to join our growing team in Glen Burnie, MD. The ideal candidate will have at least 1–2 years of insurance verification/authorization and a strong understanding of billing and insurance terminology. The Insurance Authorization and Billing Specialist will be responsible for Insurance Verification of benefits for patients by phone or website, Referrals, Authorizations, Medical collections, and Missing Information. 

About Us:

MedBridge Healthcare is a leading provider of sleep laboratory management services and therapy solutions. We partner with hospitals and physician practices to offer fully integrated services for the diagnosis, treatment, and long-term management of patients with sleep disorders.

Duties and Responsibilities:

• Verifies all insurance coverage for upcoming patient appointments and determines patient's responsibility if applicable electronically and/or by phone.
• Is knowledgeable about Medicare, Managed care, and Commercial plans.
• Obtains referral and or authorization prior to scheduled appointment.
• Submitting Authorization as required and ensuring all applicable codes, and information required are submitted to the appropriate payer.
• Process appeals online or via paper submission.
• Process billing calls and questions from patients and third-party carriers.
• Identify trends, and carrier issues relating to billing and reimbursements. Report on findings to Management.
•  Answer/respond to correspondence related to patient accounts. Available to answer billing and changes related inquiries by patients or insurance companies.
• Communicates with insurance companies effectively to resolve a denial.

Qualification and Skills:

• Excellent organization and time management skills along with excellent oral and written communication skills.
• Must be able to multi-task* Motivated, organized and a team-player with a positive- attitude.
• An excellent working knowledge of Excel and/or Microsoft office and Google Docs
• Insurance Verification and Web Portal knowledge
• Ability to learn quickly, build and maintain long term relationships and work with minimal supervision.
• Prior Authorization Submission and Status Experience
• Knowledge of diagnosis codes, procedure codes and symptoms.
• Basic Medical Terminology and understanding

Education and Experience:

• High school diploma or GED required.
• Minimum 1 years of experience in Insurance Verification
• Minimum 1 years of experience in Pre-Authorization
• Minimum 6 months to 1 year experience in Medical Collections

Schedule Options:

• 8:00 AM–4:30 PM
• 8:30 AM–5:00 PM
• 9:00 AM–5:30 PM

Location:

• Glen Burnie, MD

Why Join Us?

• Be part of a mission-driven organization making a difference in healthcare
• Work on impactful projects with a collaborative and innovative IT team
• Enjoy flexibility, growth opportunities, and a strong support system

Physical Demands

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

• The employee is regularly required to stand, walk, and sit, talk, and hear. Specific vision abilities required by this job include close vision, distance vision, peripheral vision, and the ability to adjust focus.
• The employee is required to use his/her hands to operate office equipment.
• The employee must regularly lift and/or move up to 10 pounds, frequently lift and/or move up to 25 pounds, and occasionally lift and/or move up to 50 pounds.

Work Environment

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

In the performance of this job, the employee may be exposed to chemical vapors such as acetone, ether, or glutaraldehyde. There may also be incidental skin contact with these substances. Personal protective (PPI) equipment such as gloves and eye protection must be used as appropriate to the task being performed.

OSHA Classification System for Evaluation Potential Exposure to Blood Borne Pathogens

This position will involve NO exposure to blood, body fluids, or infectious materials.

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.