Job Title: Insurance Authorization Specialist
Job Type: Full-time
All-In Hourly Rate: $4.50
Work Schedule: TBD

*WE’RE ONLY ACCEPTING FILIPINO APPLICANTS

Job Responsibilities:

• Schedule, reschedule as needed and cancel appointments patients in NextGen
• Provide Pre-Op instructions to patient upon scheduling the patient
• Verify patient Insurances, obtain authorizations and input insurance information into NextGen
• Schedule transportation as needed per the center’s practices & notify client if there are issues with transportation
• Contact clients to confirm patient appointments, reschedule appointments and any cancelled appointments and document in NextGen
• Conduct follow-up phone calls to patients post-procedures to assess surgical site infections; notify client if there is a possible surgical site infection
• Contact clients
• Medical Record Audits as requested by client
• General Data Entry & Data Collection as requested by client
• Efax physicians notes to dialysis units and referring physician’s offices
• Handle inbound and outbound calls

Job Qualifications:

• Must have a Bachelor of Science in Nursing, or BSN
• Proficient in the English language, both verbal and written
• Understanding of medical terminology
• Must have 1 year experience in a healthcare or medical billing office; management of scheduling patients
• Must have 1 year experience verifying insurance with Medicare, Medicaid and commercial payers.
• Able to perform patient follow-up calls to assess procedure surgical site infections
• Experience in obtaining pre-authorizations and/or referrals from insurance carriers (preferred)
• Serve as liaison between patients and client to ensure vascular access procedures are scheduled timely
• Ability to efax physicians’ notes to dialysis units and referring physicians’ offices.
• Proficiency in MS Word, Excel, PowerPoint and Outlook
• Worked in a healthcare setting and/or medical billing office
• Managing patient appointments for procedures: Scheduling, Rescheduling, and Cancelations
• Identifying signs and symptoms of infections for post-procedure surgical site infections
• Strong communications skills as a liaison from patient to client

Hardware and Software Requirements:

Hardware:

• AMD Ryzen 3 3200G APU or Intel Core i5 (at least 7th gen) Intel CPU
• 16GB DDR4 RAM and 120 – 480gb SSD
• Jabra Biz 1100 / Logitech H390 or similar Noise-canceling Headset
• 1 – 2 Monitors (at least 21in)
• 1080p HD Webcam
• Internet Speed: 50mbps (Fiber/DSL) LTE not accepted

Software:

• Genuine Windows 10 Licensed Computer
• Microsoft Office Suite