Remote Medical Insurance Verification Specialist - Prior Authorization Expert Needed for Fortune 5 Client

Unlock a Rewarding Career with Workwarp: Join Our Team as a Remote Medical Insurance Verification Specialist

Are you a detail-oriented and organized professional with a passion for healthcare administration? Do you have experience in medical insurance verification and prior authorizations? Workwarp is seeking a skilled Medical Insurance Verification Specialist to join our team on behalf of our Fortune 5 client. As a remote professional, you will play a critical role in ensuring the smooth operation of our client's healthcare services. Take the first step towards a fulfilling career and apply now!

About Our Client and the Industry

Our Fortune 5 client is a leading organization in the healthcare industry, dedicated to providing high-quality services to patients across the country. As a Medical Insurance Verification Specialist, you will be working closely with patients, healthcare providers, and insurance payers to verify insurance coverage and facilitate prior authorizations. This role requires a deep understanding of medical insurance processes, including Medicare and Medicaid program administration, insurance verification, and claim adjudication.

Key Responsibilities

• Prior Authorizations and Insurance Verification: Manage prior authorizations and insurance verification processes efficiently, ensuring compliance with regulatory requirements and company policies.
• Patient and Provider Communication: Communicate effectively with patients, healthcare providers, and insurance payers via telephone and email to resolve insurance-related issues and verify patient coverage.
• Insurance Coverage Verification: Verify patient insurance coverage, including Medicare and Medicaid, to ensure accurate billing and minimize claim denials.
• Inbound and Outbound Calls: Handle inbound and outbound calls from patients and insurance providers, responding to queries and resolving issues in a professional and courteous manner.
• Claim Adjudication and Medical Billing: Utilize knowledge of insurance verification and claim adjudication processes to facilitate smooth billing and minimize claim denials.

Essential Qualifications

• Recent Experience: Minimum of 1-year recent experience in medical insurance, with a focus on prior authorizations and insurance verification.
• Medicare and Medicaid Experience: Experience working with Medicare and Medicaid program administration, including knowledge of relevant regulations and guidelines.
• Insurance Verification and Claim Adjudication: Experience with insurance verification and claim adjudication processes, including medical billing.
• ICD-10, HCPCS, and CPT Knowledge: Knowledge of ICD-10, HCPCS, and CPT coding systems is highly desirable.
• Reliability and Attendance: A track record of reliability and attendance, with no history of attendance issues.

Preferred Qualifications

• Prior Authorization Experience: Experience with prior authorization processes, including electronic prior authorization systems.
• Medical Billing Experience: Experience with medical billing processes, including claim submission and follow-up.
• Insurance Industry Knowledge: Knowledge of insurance industry trends, regulations, and best practices.

Skills and Competencies

To succeed in this role, you will need to possess excellent communication and interpersonal skills, with the ability to work effectively with patients, healthcare providers, and insurance payers. You should be highly organized, with strong analytical and problem-solving skills. Proficiency in Microsoft Office and other software applications is essential, as is the ability to learn new systems and technologies quickly.

Career Growth Opportunities and Learning Benefits

As a Medical Insurance Verification Specialist with Workwarp, you will have access to ongoing training and development opportunities, enabling you to enhance your skills and knowledge in medical insurance verification and prior authorizations. Our client is committed to investing in the growth and development of its employees, providing a clear path for career advancement and professional growth.

Work Environment and Company Culture

As a remote professional, you will be working from the comfort of your own home, with the flexibility to manage your work schedule. Our client values work-life balance, recognizing the importance of maintaining a healthy and happy lifestyle. We foster a culture of collaboration, innovation, and teamwork, with a commitment to diversity, equity, and inclusion.

Compensation, Perks, and Benefits

We offer a competitive salary of $17 per hour, with weekly pay and benefits. Our comprehensive benefits package includes opportunities for career growth and development, as well as a dynamic and supportive work environment. As a remote professional, you will also enjoy the flexibility and autonomy that comes with working from home.

How to Apply

If you are a motivated and detail-oriented professional with a passion for healthcare administration, we encourage you to apply for this exciting opportunity. To apply, please submit your resume, phone number, and available times to talk. We will review your application and contact you within 10 business days.

Don't miss this chance to join our team and take your career to the next level. Apply now and start your journey with Workwarp!