Responsibilities
- Oversee the complete authorization workflow from initial notification through final determination and patient discharge.
- Ensure accurate and thorough documentation in the electronic medical record, internal systems, and health insurance portals.
- Confirm patient eligibility and coverage details for services rendered.
- Serve as the main contact between hospital personnel and insurance payers to support timely information exchange and process resolution.
- Evaluate timely filing policies related to utilization management procedures.
- Monitor pending authorizations and follow up with payers to secure prompt responses.
- Reach out to insurance providers to obtain updates on case status, decisions, and resolve processing obstacles.
- Recognize potential issues that could lead to delays or claim denials and escalate appropriately.
- Handle assigned cases efficiently through consistent follow-up and precise record maintenance.
- Adhere to HIPAA standards and all applicable healthcare regulatory requirements.
Benefits
- Hourly pay rate of $19.00 to $20.00, non-negotiable.
- Fully remote position limited to individuals within the United States.
- Work equipment supplied by the organization.
- Comprehensive medical, dental, and vision insurance coverage.
- 401k retirement plan with employer match up to 2%.
- Accrual of 80 hours of paid time off per year.
- Nine paid holidays annually.
- Life insurance benefit included.
- Options for short-term and long-term disability coverage.
- Tuition reimbursement available for qualifying education.
- Opportunities for professional development and advancement.
Compensation
Hourly pay: $19.00 - $20.00 (firm)
Work Arrangement
Remote within US ONLY
Other
- Work equipment is provided.
- Employment requires work to be performed within the United States only.
- Some holiday shift coverage is necessary.
- Regular hand-eye coordination and manual dexterity are needed to operate office technology.
- Ability to work at a computer for 6 to 8 hours daily in an environment with frequent interruptions is required.
- Team members may need to sit for extended durations.
- Occasional lifting and movement of materials up to 20 pounds is required.
- Team members may face high stress levels during peak periods and when managing multiple deadlines.
Not mentioned
