Top 339 Work from home insurance verification specialist Jobs

Insurance Authorization Specialist II
SYSTEM West Virginia University Health System —Remote
- Full-time
- Remote
- Microsoft Outlook
- Computer literacy
- Basic math
Healthcare Customer Service Specialist - Work from Home
Sagility —Remote
- From $14 an hour
- Email
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
- Disability insurance
- Health insurance
Remote Medical Insurance Verification Specialist
Brooklyn Medical Practice —Remote
- $21 - $24 an hour
- Part-time
- Remote
- Medical office experience
- HIPAA
- Senior level
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Insurance Verification Specialist - 3147/Remote - Full Time
Wilmington Health PLLC —Wilmington, NC
- Full-time
- Remote
- HIPAA
- High school diploma or GED
- Organizational skills
Insurance Verification & Authorization Specialist – Remote
FYZICAL LLC —Lexington, SC
- $17 - $19 an hour
- Full-time
- Remote
- Microsoft Outlook
- Addiction Medicine
- Mid-level
- Paid holidays
- Disability insurance
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Insurance Verification Specialist I #Full Time #Remote
61st Street Service Corp —New York State
- $23.56 - $28.85 an hour
- Full-time
- Remote
- Communication skills
- Entry level
- Under 1 year
- Health insurance
- Paid time off
Quick Apply
12d
Insurance Credentialing Specialist- Behavioral Health
Kindred Treatment Center —Remote
- Contract
- Remote
- Microsoft Excel
- HIPAA
- Mid-level
- AD&D insurance
- Health insurance
Quick Apply
12h
Data Entry & Billing Support Specialist
Modern Therapy Alliance —Remote
- $19 - $22 an hour
- Part-time
- Remote
- Background check
- Adults
- QuickBooks
- Flexible schedule
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10h
Credentialing Specialist - Work from Home
Sagility —Remote
- From $20 an hour
- Email
- Remote
- Mid-level
- 1 year
- Communication skills
- Disability insurance
- Health insurance
Contact Center Customer Experience Specialist - Cardmember Services
U.S. Bank National Association —Remote
- $20 an hour
- Remote
- 18 years or older
- Research
- High school diploma or GED
- Paid holidays
- Disability insurance
Insurance Verification Specialist
Charlie Health —Nashville, TN
- Full-time
- Remote
- Mid-level
- 3 years
- Administrative experience
- Health insurance
Quick Apply
Pain Management Collections Specialist - Remote
Alliance Orthopedics —Remote
- $20 - $30 an hour
- Full-time
- Remote
- Background check
- Spanish
- Mid-level
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Surgical Collections Specialist - Remote
Alliance Orthopedics —Remote
- $20 - $30 an hour
- Full-time
- Remote
- Background check
- Spanish
- Surgery
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Spine Collections Specialist - Remote
Alliance Orthopedics —Remote
- $20 - $30 an hour
- Full-time
- Remote
- Background check
- Spanish
- Mid-level
Quick Apply
Insurance Verification & Benefits Specialist
BRISTOL HOSPICE LLC —Salt Lake City, UT
- $19 - $23 an hour
- Full-time
- Remote
- Computer literacy
- HIPAA
- Mid-level
- Mileage reimbursement
- Health savings account
Quick Apply
Insurance Eligibility & Follow-Up Specialist (Remote)
GetixHealth —Tacoma, WA
- $16 - $20 an hour
- Overtime
- Remote
- HIPAA
- Mid-level
- High school diploma or GED
- AD&D insurance
- Disability insurance
Quick Apply
Medical Collection Representative (Remote)
RevCycle, Inc. and affiliated company Alliance Collection Agencies, Inc. —Remote
- From $20 an hour
- Full-time
- Remote
- Basic math
- High school diploma or GED
- Criminal background check
- Paid training
- Disability insurance
Customer Support Representative / CSR (Remote) - Virginia residents only Bilingual
MMC Group —Virginia
- $17.46 an hour
- Full-time
- Remote
- Spanish
- English
- Administrative experience
- Paid training
Quick Apply
7d
Preservice & Insurance Verification Specialist
Lehigh Valley Health Network —Allentown, PA
- Full-time
- Remote
- Spanish
- Customer service
- 3 years
Intake Specialist
Vital Connect Inc —California
- $22 - $24 an hour
- Remote
- Microsoft Excel
- Microsoft Outlook
- Computer literacy
- Dental insurance
Quick Apply

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Insurance Authorization Specialist II

SYSTEM West Virginia University Health System
Remote

Apply Now

Job Details

Full-time

Qualifications

Computer literacy

Full Job Description

Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

This position is responsible for obtaining authorizations for elective procedures, services, and tests to financially clear patients prior to services are rendered. Payor resources and any other applicable reference material such as payor and medical policies should be utilized to verify accurate prior authorization requirements. Cases are to be coded, and clinical documentation reviewed to ensure the documentation is complete. Escalates financial clearance risks as appropriate in compliance with the Financial Clearance Program. This role is key to securing reimbursement and minimizing organizational write offs, while supporting the goals of keeping surgery room and schedules at optimal levels.

MINIMUM QUALIFICATIONS :

EDUCATION, CERTIFICATION, AND/OR LICENSURE:

1. High school graduate or equivalent with 2 years working experience in a medical environment, (such as a hospital, doctor’s office, or ambulatory clinic.)

2. Associate’s degree and 1 year of experience in a medical environment required.

PREFERRED QUALIFICATIONS :

EXPERIENCE:

1. 3 years’ experience of knowledge and interpretation of medical terminology, ICD-10, and CPT codes.

2. Understanding of authorization processes, insurance guidelines, and third-party payors
3. Proficiency in Microsoft Office applications.

4. Excellent communication and interpersonal skills.

5. Ability to prioritize to meet deadlines and multitask a large work volume with a high level of efficiency and attention to detail.

6. Basic computer skills.

CORE DUTIES AND RESPONSIBILITIES: As an advocate for WVUH/UHA employees, company and departmental goals and initiatives and HR Compliance, demonstrate knowledge of management and employee needs and apply that knowledge to create solutions.

1. Identifies all patients requiring pre-certification or pre-authorization at the time services are requested or when notified by another hospital or clinic department.

2. Contacts insurance company or employer to determine eligibility and benefits for requested services.

3. Use work queues within the EPIC system for obtaining authorization for referrals, tests, and surgeries within expected timeframes.

4. Follows up on submitted authorization requests timely.

5. Ensures accurate coding of the diagnosis, procedure, and facility align with authorization obtained.

6. Provides authorization verification of services timely to avoid unnecessary delays in treatment and reduce excessive nonclinical administrative time required of providers.

7. Utilize payor resources and any other applicable reference material such as payor and medical policies to verify accurate prior authorization.

8. Review and interpret medical record documentation to answer clinical questions during the

authorization process.

9. Scheduling and following up on peer to peers and denials.

Submitting and following up with prior authorization appeals for denied surgeries.

10. Assists Patient Financial Services with denial management issues and will obtain retro-authorizations as needed.

11. Notifies scheduling and physicians of any cases not authorized within department policy.

12. Excellent time management and organization with time sensitive work.

13. Maintains compliance with departmental quality standards and productivity measures.

14. Works collaboratively and politely with internal and external contacts specifically Physicians, Financial Clearance/Counselor, Schedulers, and Nurses.

15. Uses hospital communications systems (fax, pagers, telephones, copiers, scanners, and computers) in accordance with hospital standards.

16. Maintain in baskets in Epic and emails in Outlook.

17. Participate in monthly team meetings and one-on-ones.

18. Follows established workflows, identifies deviations or deficiencies in standards/systems/processes and communicates problems to supervisor or manager.

19. Is polite and respectful when communicating with staff, physicians, patients, and families.

Approaches interpersonal relations in a positive manner.

20. Maintains confidentiality according to policy when interacting with patients, physicians, families, co-workers, and the public regarding demographic/clinical/financial information.

PHYSICAL REQUIREMENTS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Prolonged periods of sitting.

2. Extended periods on the telephone requiring clarity of hearing and speaking.

3. Manual dexterity required to operate standard office equipment.

4. Must have manual dexterity to operate keyboards, fax machines, telephones, and other business equipment.

SKILLS AND ABILITIES:

1. Excellent oral and written communication skills.

2. Practical knowledge of medical terminology.

3. Practical knowledge of ICD-10 and CPT coding.

4. Practical knowledge of third-party payors.

5. General knowledge of time-of-service collection procedures.

6. Basic knowledge of business math.

7. Excellent customer service and telephone etiquette.

8. Minimum typing speed of 25 words per minute.

9. Excellent reading and comprehension ability.

Additional Job Description:

Scheduled Weekly Hours:

Shift:

Exempt/Non-Exempt:

United States of America (Non-Exempt)

Company:

SYSTEM West Virginia University Health System

Cost Center:

536 SYSTEM Hospital Authorization Unit

Apply Now

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Welcome! We’re excited you’re considering an opportunity with us! To apply to this position and be considered, click the Apply button located above this message and complete the application in full. Below, you’ll find other important information about this position.

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