Key Facts

Remote From:

Full time

Mid-level (2-5 years)

English

Hard Skills

Aftercare Claims And Litigation Management Revenue Management Medical Necessity Prior Authorization Telephony Patient Registration Inventory Management Physician Data Query Benefits Administration

Other Skills

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Microsoft Excel
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Microsoft Word
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Microsoft Outlook
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Professionalism
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Communication
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Teamwork
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Personal Integrity
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Customer Service
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Problem Solving

Roles & Responsibilities

High School Diploma/GED
2+ years of Denials Management experience
2+ years Medical Billing/Follow-up experience
Medicare, Medicaid, and commercial payor experience

Requirements:

Reduce outstanding accounts receivable by managing claims inventory
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
Provide excellent customer service and timely response to questions and issues related to benefits, billing, claims, payments, etc.
Utilize various databases and specialized computer software for revenue cycle activities including eligibility verifications, pre-authorizations, medical necessity, review/updating of patient accounts, etc.

Med A/Rx

About Med A/Rx

Welcome to Med A/Rx Med A/Rx is a new way to think about revenue cycle management for the healthcare financial professional. We have combined the power of a state of the art accounts receivable management firm with a highly sophisticated health care financial consulting team with access to HITECH Denial Management tools to get the job done.This combination through sister companies PMAB, MBOC, and Medspan Technologies respectively, with their unmatched technical expertise, and executional skills deliver far superior results for your bottom line: PMAB: By embracing technology we have radically changed the face of outsourced A/R management. We have created a proprietary account scoring algorithm that allows us to evaluate the A/R data and create a superior patient contact rate. We then feed this data into our state of the art telecommunications systems which leads directly to a higher close rate and significanly improve cash flows for our clients. MBOC: Through a traditional healthcare consulting approach, we work with your organization to acheive best practices and ultimately improve the quality of your receivables as they move through your system. Medspan Technologies: Through the provision of an application of a practical, secured, web based tool for Denial Management Reports and Monitoring,we can provide a system that is system netural,easily, implemented and it is a month to month subscription with no longterm contract. Med A/Rx was created to extract all the power and synergies from our sister companies, PMAB, MBOC, and Medspan Technologies. We firmly believe that our adavanced analytical tools when teamed up with the state of the art executional tools and people at PMAB, delivers unmatched results for our clients. Regardless of your need, you need Med Arx. Contact us today at 704 553 7144

Founded: 2018

Company size: 51 - 200

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Job description

About Us:

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. Learn more at www.meduitrcm.com.

About the Role:

Insurance Specialists are highly focused on the resolution of insurance processing errors and denials and work 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.

Title: Insurance Specialist

Schedule: Multiple Shifts available between 7am - 7pm Eastern Time Zone (6a-6p Central), Monday – Friday

Interviews & Start Date: Interviewing through 5/1/26 for 5/11/26 start date

Location: Remote

Paid Training: 3 weeks

Compensation: $18 - $21 per hour base

Key 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

Skills & Competencies:

Integrity

Communication

Problem-solving

Teamwork

Required Qualifications:

High School Diploma/GED

2+ years of Denials Management experience

2+ years Medical Billing/Follow-up experience

Medicare, Medicaid, and commercial payor 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. (you can test your speed here: https://speedtest.net/)

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)

Employment eligibility:

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

What We Offer:

Comprehensive paid training

Medical, dental, and vision insurance

HSA and FSA available

401(k) with company match

Paid Wellness Time and Holidays

Employer paid life insurance and long-term disability

Internal growth opportunities

Meduit is an Equal Opportunity Employer. We do not discriminate based on any protected class and welcome applicants from all backgrounds, consistent with applicable laws. Employment is contingent upon successful completion of a background check, satisfactory references, and any required documentation.

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position.

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