Raintree Systems

The Most Powerful, Flexible EMR For Therapy and Rehab

Authorization & Eligibility Coordinator – Healthcare/SaaS/EHR

Human ResourcesHuman ResourcesFull TimeRemoteTeam 201-500H1B SponsorCompany SiteLinkedIn

Location

Alabama + 13 moreAll locations: Alabama, Arizona, Florida, Kansas, Nevada, North Carolina, Oregon, Massachusetts, Michigan, Mississippi, Pennsylvania, South Carolina, Tennessee, Texas

Posted

64 days ago

Salary

Not specified

High SchoolExperience acceptedEnglish

Job Description

• Ensure quality and timely benefit/eligibility verifications along with the management of client enrollment and credentialing for multi-specialty medical professional services • Responsible for the verification and eligibility of patient health insurance benefits via external insurance web portals or over the phone • Responsible for authorization submission as needed based on patient's health insurance requirements • Assures all insurance information has been completely and accurately obtained • Documents all pertinent insurance eligibility information • Documents information given or received to support actions taken on insurance issues • Assures all authorization information is documented completely and accurately for claims processing • Review, evaluate and assist in creating processes and workflows for future benefit and authorization teams • Monitor authorization exceptions to ensure timely claim billing • Communicate with clients regarding authorization or eligibility issues or trends • Assist external departmental personnel in strategically critical issues as the need arises

Job Requirements

  • High School Diploma, GED, or equivalent work experience
  • Requires consistent judgment using software and industry expertise to analyze client needs and processes and then exercise discretion regarding how to configure and customize the solution
  • Ability to teach end users in the solution's optimal use
  • Requires knowledge of multiple medical specialties and the rules regarding their billing and documentation
  • Understanding of accounting principles governing corporate reporting, teaching - including developing custom training plans and documentation
  • Understanding of software engineering / development processes
  • Well-developed verbal, listening and phone communication skills
  • Good written communication skills with the ability to write routine correspondence
  • Ability to add, subtract, multiply, and divide in all units of measure
  • Ability to define problems, collect data, establish facts, and identify trends
  • Strong organizational skills and ability to execute manual detailed tasks
  • Strong customer service focus and commitment
  • Ability to establish and maintain effective working relationships within the team
  • Ability to work well with diverse personalities
  • Tactful, mature and flexible
  • Ability to work remotely
  • Strong video conferencing etiquette

Benefits

  • Remote Work/Work From Home
  • Paid Time Off/11 Paid Holidays/Year-End Holiday Break
  • Health, Dental, Vision, HSA/FSA
  • 401K with Company Match
  • Disability & Life Insurance
  • Employee Assistance Program
  • Paid Parental Leave

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