DME / Orthotics - Authorization & Collection Specialist - REMOTE

Remote Full-time
Work Location: Remote• Candidates located in Central, Mountain, Pacific, Alaskan, & Hawaiian US - Time Zones are encouraged to apply. SUMMARY: Coordinate all insurance and patient pre-authorization and collection efforts for Durable Medical Device Company by performing the following duties. ESSENTIAL DUTIES/RESPONSIBILITIES:• Contact payers to verify patient eligibility and product specific coverage information. • Interface with physicians, advocates, patients and manufacturer representatives to obtain and provider payer policy and specific coverage information.• Provide accurate and timely follow-up to all reimbursement inquires in accordance with program guidelines. • Obtain prior authorization when required. • Research and compile payer specific information for reimbursement database• Review aging reports and correspondence to locate and address outstanding insurance claims, and patient balances• Responsible for reconciling delinquent claims• Responsible for coordinating and communicating patient balances with management, patients and outside management company• Respond to and resolve patient billing inquires via email, phone and in person• Other duties as assigned• This job has no supervisory responsibilitiesREQUIREMENTS:• Minimum of 3 years recent medical collection and prior authorization experience (excluding school/externship)• Ability to multitask and handle a high volume in a fast-paced environment with frequent interruptions• Previous experience with Medical Collections, Reimbursements or Prior-Authorizations• Ability to effectively communicate using proper grammar, spelling and punctuation• Ability to read and properly evaluate an EOB and to enter data quickly and accurately• Ability to use sound independent judgment and self-supervise• Intermediate knowledge of standard office procedures and software applications• Working knowledge of Microsoft Word and Excel• Experience utilizing Practice Management software• Basic knowledge of CPT and ICD-9 / ICDc-10 coding as well as medical terminology• Experience with in and out of network appeals• Experience with Military and government payers including VA• High School Diploma or GED required• Brightree Experience PreferredJob Type: Full-timeSalary: $18-$25 an hourBenefit Conditions:• Waiting period may apply• Only full-time employees eligibleBenefits offered:• Health insurance• Dental insurance• Retirement benefits or accountsWork Remotely• Yes• Candidates located in Central, Mountain, Pacific, Alaskan, & Hawaiian US - Time Zones are encouraged to apply.Job Type: Full-timeBenefits:• 401(k)• 401(k) matching• Dental insurance• Health insurance• Paid time off• Retirement plan• Vision insuranceWork Location: Remote• Candidates located in Central, Mountain, Pacific, Alaskan, & Hawaiian US - Time Zones are encouraged to apply. • Applicants who do not answer all 5 screening questions will not be considered. Company DescriptionDurable Medical Equipment & Orthotics Company located in Scottsdale, AZ Apply tot his job
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