Remote Jobs
Patient Access Specialist (Differential Waiver) - Prior Authorization
This job is now closed
Job Description
- Req#: R-0250671
Employer Industry: Healthcare Services
Why consider this job opportunity:
- Salary up to $26.50 per hour
- Opportunity for career advancement and growth within the organization
- Work remotely, providing flexibility in your work environment
- Supportive and collaborative work atmosphere
- Chance to make a positive impact on patient care and insurance processing
What to Expect (Job Responsibilities):
- Review and validate insurance eligibility, prior authorizations, and referrals for medical services
- Collect necessary documentation and communicate with third-party payers and healthcare professionals
- Verify patient registration and confirm benefit coverage, including deductibles and out-of-pocket expenses
- Collaborate with provider offices to obtain and clarify documentation supporting medical necessity
- Document work in the case management module and provide direction to cross-functional teams
What is Required (Qualifications):
- High school diploma or equivalent preferred; post-secondary education is helpful
- Minimum of two years of experience in a hospital or clinic setting
- Understanding of medical terminology, insurance processes, office equipment, and computers
- Strong communication skills for interacting with healthcare professionals and patients
- Ability to work collaboratively in a team-oriented environment
How to Stand Out (Preferred Qualifications):
- Experience working with insurance prior authorization processes
- Familiarity with case management and utilization management principles
- Knowledge of Advanced Beneficiary Notices (ABN) and financial waivers
#HealthcareServices #PatientAccess #RemoteWork #CareerOpportunity #InsuranceProcessing
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