保险专员 - 山区和太平洋时区
Insurance Specialist - Mountain and Pacific Time Zones
Meduit 是医疗收入周期管理领域的全国领先企业，为全美 48 个州的医院和医生诊所提供支持。我们专注于优化付款流程，使客户能够专注于患者护理，并以我们的核心价值观为傲：诚信、团队合作、持续改进、以客户为中心和结果导向。了解更多请访问 www.meduitrcm.com。
职位描述：
保险专员主要负责解决保险处理错误和拒付问题，并致力于解决医院和医生的账单挑战。您将利用在患者账单、索赔提交和保险公司指南（包括医保、医疗补助及商业保险公司）方面的专业知识，与保险公司有效合作，解决问题并确保准确及时的付款。
职位名称：保险专员
工作时间：太平洋时间上午 7:30 至下午 5 点（山地时间上午 6:30 至下午 4 点），周一至周五有多个班次可选
工作地点：远程
带薪培训：3 周
薪资：每小时 18 至 21 美元
主要职责：
通过管理索赔库存来减少未结应收账款
以专业的方式与患者和保险公司沟通其未结余额
从患者、客户/家属、客户临床部门、政府机构、雇主、第三方支付方和/或医疗支付项目等处获取信息，包括当面和电话方式，用于登记患者、收集或更新信息、获取转诊和预授权、完成相关表格、进行评估、确定福利和资格（保险、公共项目等）、确定财务责任和/或识别服务付款来源
请求、输入、验证和修改患者的个人信息、主要保健提供者和支付方信息
提供优质的客户服务，及时回应与福利、账单、索赔、付款等相关的问题和事项
通过电话回答问题并提供服务报价；根据客户政策和程序识别财务资源等
使用各种数据库和专业计算机软件进行收入周期活动，包括资格验证、预授权、医疗必要性、患者账户的审查/更新等
向患者、员工、支付方和老年人解释费用，回答问题，并传达有关患者财务护理服务和资源的各种要求、政策和程序
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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 7:30am - 5pm Pacific time (6:30am-4pm Mountain) Monday – Friday
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: )
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.
Originally posted on Himalayas