Responsibilities
- Obtain and verify insurance eligibility for services provided and document complete information in system
- Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
- Collect any clinical information such as lab values, diagnosis codes, etc.
- Determine patient’s financial responsibilities as stated by insurance
- Configure coordination of benefits information on every referral
- Ensure assignment of benefits are obtained and on file for Medicare claims
- Bill insurance companies for therapies provided
- Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
- Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
- Handle inbound calls from patients, physician offices, and/or insurance companies
- Resolve claim rejections for eligibility, coverage, and other issues
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
- High school diploma
- 1+ years of medical billing or insurance verification experience
- Must be authorized to work in the U.S. without the need for employment-based visa sponsorship now or in the future
Nice to Have
- Bachelor’s degree in related field can substitute for experience
- Experience with payors and prior authorization preferred
Benefits
- Competitive pay
- Health insurance
- 401K and stock purchase plans
- Tuition reimbursement
- Paid time off plus holidays
- Flexible approach to work with remote, hybrid, field or office work schedules
Work Arrangement
Remote (Worldwide)
Additional Information
- Must be authorized to work in the U.S. without visa sponsorship now or in the future
- Remote work available anywhere in the United States
- Work hours: Monday - Friday, 12:00 - 9:00 p.m. EST
- Targeted start date: 3/30/26
