Job Description

Job Description

Job Description

Job Summary
Medical billing company located in Tempe, Arizona is seeking a Remote/Work from Home Insurance Verification Specialist for 20-35 hours per week. This position is a 1099 position. As a critical member of our team, demeanor, and confidentiality is a crucial aspect of this position. This person will be an important member of our team and must be willing to perform a specific set of skills.

We are looking for a fun, positive person who is detail oriented and can multi-task with great energy. Previous medical billing experience and experience with a certified medical billing software is required.

Essential Functions:

• Verify patients medical plan benefits and requirements according to their specific medical policy, to ensure necessary procedures are covered by an individual’s provider and maximum payment for services rendered.
• Handle incoming and outgoing communications from internal team members, insurance payers, and customers related to insurance benefits.
• Identify important patient and demographic information that are missing and update information to avoid claim processing issues with the insurer.
• Determine if prior authorization and/or gap exception is required for ordered services.
• Ensures appropriate clinical documentation is available and complete before submitting the prior authorization and/or gap exception.
• Send clinical documentation to the insurance company for review and approval.
• Follow up with insurance companies to ensure documentation has been received and prior authorization and/or gap exception is in process.
• Obtain and review prior authorization and/or gap exception approval and upload approval documentation to the patient’s chart.
• Communicate to our providers that the approval is complete through a ticket application.
• Ensure security and confidentiality of data and office technology.
• This is a work from home/remote position as an Independent Contractor.

Qualifications:

• General knowledge of insurance cards, medical insurance terminology, medical benefits, and CPT and ICD 9/10 coding required.
• Microsoft Office experience required.
• Previous experience with a medical billing company in verifying benefits and/or pre-authorizations.
• Previous experience with certified medical billing software.
• Excellent communication and interpersonal skills.
• Attention to accuracy and detail in all aspects of responsibilities.
• The ability to manage priorities and focus on completing tasks efficiently and within time frames.
• Experience performing research utilizing the Internet.
• Excellent organizational skills. 
• Updated computer system including but not limited to high-speed internet, Microsoft 360, 2 or more monitors, and willingness to have your computer system encrypted to maintain HIPPA compliance. 

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