9 дней назад
Senior Insurance Authorization Specialist (Healthcare Revenue Cycle)
19 - 25$
Мэтч & Сопровод
Для мэтча с этой вакансией нужен Plus
Описание вакансии
Текст:
TL;DR
Senior Insurance Authorization Specialist (Healthcare Revenue Cycle): Supporting insurance authorization and verification for hospital patients with an accent on accurate clinical record selection, coverage validation, and authorization submissions. Focus on resolving escalated issues, coordinating with physicians and insurers, mentoring specialists, and maintaining regulatory compliance and high quality standards.
Location: On-site at Bon Secours - St Mary's Hospital in Richmond, Virginia; limited to individuals residing and authorized to work in the United States
Salary: $18.65–$25.00 per hour, depending on experience
Company
provides technology-enabled revenue cycle management solutions and point solutions for hospitals and affiliated physician groups across the United States.
What you will do
- Support insurance authorization and verification activities for patients scheduled for healthcare services.
- Select accurate clinical and medical records, validate demographic and insurance information, and confirm active coverage.
- Submit authorization requests to insurance companies based on plan requirements and communicate with ordering physicians to secure approvals.
- Assist the department supervisor with workflow distribution, escalated issues, and system or process issue tracking.
- Mentor and train new team members while supporting quality, customer service, and productivity targets.
Requirements
- 1–3 years of relevant experience.
- High school diploma or GED required.
- Must reside in and be authorized to work within the United States.
- Certified Revenue Cycle Representative certification required within nine months of hire; certification is company-paid.
- Ability to meet accuracy, customer service, and productivity standards while following regulatory requirements.
Nice to have
- Two-year associate degree.
- Openness to innovation, including using AI to improve processes and patient and client experiences.
Culture & Benefits
- Comprehensive healthcare, paid time off, retirement, and well-being benefits.
- Paid professional certifications and tuition reimbursement.
- Bonus and quarterly or annual incentive programs.
- Culture focused on collaboration, growth, innovation, and work-life flexibility.
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