Insurance Specialist – Prior Authorization

This is a fully remote position, open to applicants in New York.

📋 Description

• Decrease outstanding accounts receivable by overseeing claims inventory.

• Communicate with patients and insurance companies professionally regarding their pending balances.

• Collect information from patients, clients/family members, clinical areas, government entities, employers, third-party payers, and/or medical payment programs, among others.

• Request, enter, verify, and update patient demographic, primary care provider, and payer details.

• Deliver exceptional customer service and prompt responses to inquiries and issues.

• Clarify charges, resolve questions, and relay requirements to patients, staff, payers, and agencies.

• Collaborate with Claims and Collections to support patients and their families.

⛳️ Requirements

• High School Diploma or GED.

• Over 2 years of experience in Denials Management.

• More than 2 years of experience in Medical Billing/Follow-up.

• Familiarity with Medicare, Medicaid, and commercial payer practices.

• Experience with Workers Comp Pre-Access.

• Proficient in PC-based applications (Microsoft Outlook, Word, and Excel).

• A download speed of 30MB or higher and an upload speed of 10MB or higher are MANDATORY.

• Must have access to a secure and private workspace.

• Employment eligibility: Must be legally authorized to work in the United States without sponsorship.

• A pre-employment background check will be conducted.

🏝️ Benefits

• Comprehensive paid training.

• Medical, dental, and vision insurance.

• Health Savings Account (HSA) and Flexible Spending Account (FSA) options available.

• 401(k) plan with company matching.

• Paid Wellness Time and Holidays.

• Employer-paid life insurance and long-term disability coverage.

• Opportunities for internal advancement.