Insurance Administrator – Aston Carter Remote Jobs

Job Type: Insurance Administrator from home
Location: Maryland work from home
Company: Aston Carter

The Insurance and Authorization Specialist is an administrative support position that is considered the front line of the revenue cycle process when a patient requires care and the insurance verification process must begin.

The branches will place service orders, and this person will obtain benefits and insurance information as part of the ongoing authorization process to update, track, and document necessary tasks/updates in order to essentially get the patient coverage clearance for Home Call (LHC) home health services performed.

90% high volume, fast-paced administrative tasks in the back office/ 10% phone calls to follow up or answer questions

Responsibilities:

• In a timely manner, obtains authorization from the payer’s case manager for services ordered/requested for prospects/referrals.
• Documents specific authorization details, such as effective and expiration dates, using the appropriate legacy system and associated software application, such as patient notes, authorizations, tasks, workflow, phone calls, and/or email.
• As needed, obtains additional pre-certification. Consults with the agency as needed for all private insurance referrals and documents/communicates in a timely manner using the software application.
• On a regular basis, acts as a liaison between the branch location and the payer.
• Coordinates and communicates with the branch location in a timely manner about any changes or updates from the payer.
• Accesses authorizations in the most efficient and timely manner possible via email, phone, fax, and/or online application.
• Responds to all customer requests, inquiries, and concerns in a timely and courteous manner.
• Independently solves problems before referring them to the Supervisor/Manager for resolution.
• Performs eligibility and/or comparable, comparable, or related duties as required or assigned.

Requirements:

Skills: medical, insurance, administrative assistant, customer service, administrative support

Top Skill Specifications: medical,insurance,administrative assistant,customer service,administrative support