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Remote Insurance and Authorization Specialist

Dallas, TX 75038

Posted: 01/03/2023 Employment Type: Contract Industry: Healthcare - Medical Job Number: 17800 Pay Rate: 23.00

Job Description

Our client is seeking a Remote Insurance and Authorization Specialist who lives in the DFW and surrounding areas on a contract to possible hire basis and would possibly consider direct hire for the right candidate.

Company Profile:
Eyecare practices
Eyecare surgical centers
Outstanding patient experience

Does your resume really present you as the best qualified candidate for the job?  Put your voice out there too!  We invite you to share your story and complete a quick video interview that will be done in less than 3 minutes.  Please follow this link:

Remote Insurance and Authorization Specialist Role:
In this role, you will be verifying insurance eligibility for both medical and vision insurances for upcoming appointments by utilizing onsite websites or by contacting the carriers directly.  
You will be responsible for Rush Verifications including patients that were added to the schedule late, patients who were walkins, and patients who were scheduled for immediate appointments due to necessity.
You will handle approximately 60 verifications daily (starting out at approximately 40 while be trained on their systems, but ramping up to approximately 60/day).
Inability to obtain a verification of benefit or incomplete information is reported to manager immediately
Make outbound calls, if necessary, to obtain insurance information and authorizations
Keeps current with third party and payers guidelines
Request, track and obtain pre-authorization from insurance carriers within time allotted for medical and services.
Request, follow up and secure prior-authorizations prior to services being performed.
Review patient deductibles and/or copays and enter into the billing system 
Locate and notify customers with delinquent accounts or if any additional information is needed
Ensure inbound calls are handled timely, efficiently, and appropriately
Enter insurance referrals and authorizations as needed. 
Notify Manager regarding any problems or financially risky patients
Report daily productions to Manager
Meet required production numbers as set by Manager - approximately 60 verifications daily (starting out at approximately 40 while be trained on their systems, but ramping up to approximately 60/day).
Advise Manager of medical necessity authorization denials due to non-compliance of insurance medical policies.
Maintain a professional approach with confidentiality. Assures protection and privacy of health information as attained through written, electronic or oral disclosures.
Seeks guidance and remains knowledgeable of, and complies with, all applicable federal and state laws, as well as company policies and procedures.

Remote Insurance and Authorization Specialist Background Profile:
High School diploma or the equivalent
Bachelor’s degree or any college courses are a plus
2+ years of health insurance verification/authorization/eligibility experience
MS Office Suite experience – specifically Word, Excel and Outlook
10K by touch and type 50-60 wpm
Familiarity with NextGen is preferable
CPT, HCPCS, and ICD-10 knowledge
Understanding of key payers including Medicaid, Medicare and private payers
Knowledge of claims and billing
Excellent customer service skills and a positive, proactive attitude
Professional appearance and demeanor are required
Excellent verbal and written communication skills
The ideal candidate will be self-motivated, have a high attention to detail, and highly productive.
Work remotely from home
Hours:  8am – 5pm 
Ability to multi-task and work well under pressure

Features and Benefits while On Contract:
We go beyond the basic staffing agency offerings!  You can see the extensive list of benefits on our website under the Candidate “Benefits” tab.

Features and Benefits of Client:
Medical Insurance with Health Savings Account (HSA)
Dental Insurance
Vision benefits
Prescription Drug
Flexible Spending Account
Dependent Care FSA
Basic Life and AD&D
Short Term Disability
Long Term Disability
Generous PTO
Paid Holidays
401K with match

Frontline Source Group is an Equal Opportunity Employer.  Candidates must be authorized to work in the United States without sponsorship.  The client cannot sponsor any visas. 

Disclaimer: sensitive and personal data will not be requested by Frontline Source Group or its affiliates until a job offer is made and accepted. If you ever doubt the validity of our job postings, we encourage you to call one of our branch locations to verify the status on any job.


Job Requirements

CPT, HCPCS, and ICD-10, Nextgen

Meet Your Recruiter

Emily Longsworth

Emily Longsworth is a graduate of Texas A&M University, and has worked as an Executive Recruiter with Frontline Source Group for the last 5 years, specializing in full-desk recruitment for clients and candidates across the country. Working nationwide allows her to truly understand what the job market is like, and she knows how to present her candidates’ skills to be in the most competitive position going into interviews. Whether you are searching for your next opportunity or if you need to locate top-quality talent, Emily will be dedicated to your search! Connect with her today for more info.

Our process is designed to save you time. There’s no need to come in to register. All you need to do is submit your resume through the “Search Jobs” link or the “Upload Resume” link. If you are a fit for this role, and have additional questions, please reach out to Emily directly below. 

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