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    Remote Patient Access Rep - Chicago, United States - TRC Talent Solutions

    TRC Talent Solutions
    TRC Talent Solutions Chicago, United States

    2 weeks ago

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    Description

    Job Description

    Job Description

    100% Remote

    $18-$22/hr

    If you have experience with pre-authorizations, financial clearance, or pre-registration type work for Hospital and/or Physician Billing services, this is your opportunity to shine

    Our team assists healthcare providers with the remediation of 3rd party accounts receivable and a variety of revenue cycle outsource capabilities. We are seeking a highly organized and detail-oriented individual to join our team as a Remote Patient Access Rep. In this role, you will be responsible for obtaining prior authorizations from insurance companies for upcoming medical procedures, treatments, and services for patients while providing accountable oversight of assigned work que; processes procedures and projects in order to deliver superior productivity and quality outputs for the assigned client. You will work closely with our client, healthcare providers, insurance companies, and patients to navigate the authorization process efficiently. This position may transition into Accounts Receivable Representative for future projects, based on ongoing needs.

    Responsibilities:

    • Review patient medical records and treatment plans to determine the necessary insurance authorization requirements
    • Communicate with healthcare providers to gather necessary documentation and information for insurance authorization submissions
    • Liaise with insurance companies to submit authorization requests and follow up on the status of pending authorizations
    • Verify insurance coverage and benefits for patients undergoing medical procedures or treatments
    • Educate patients on their insurance coverage and financial responsibilities related to medical services
    • Maintain accurate and detailed records of authorization requests, approvals, denials and any additional communication related to insurance authorization
    • Stay up-to-date on insurance policies, regulations, and industry trends related to insurance authorization processes
    • Maintains departmental productivity and quality standards
    • Must posses general PC aptitude and keyboarding ability -- must be able to type at a minimum of 40 wpm
    Education and Experience:
    • A minimum of 1-2 years experience with pre-authorizations, financial clearance, or pre-registration in a healthcare setting required
    • High School Diploma or equivalent required; Associate's or Bachelor's Degree preferred
    • Hands-on experience using Epic, Cerner, Soarian, Allscripts, Meditech, and other industry recognized Revenue Cycle Management Systems required
    • Hands-on knowledge and understanding of medical terminology, insurance policies, CPT and ICD-10 coding and terminology for hospital and/or physician billing
    • Excellent communication skills, both verbal and written, with the ability to effectively communicate with healthcare providers, insurance companies, and patients
    • Exceptional attention to detail and organizational skills to manage multiple authorization requests simultaneously
    • Ability to multitask in several applications and systems simultaneously and demonstrates proficiency in using computer systems and software for data entry, documentation and communication.
    • Ability to work independently and remotely, while also collaborating effectively with a remote team.
    Physical Requirements: While performing the duties of this job, the employee is frequently to use hands, fingers; and frequently to talk or hear. The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects. The employee must have the ability to sit for long periods of time.

    TRC Talent Solutions is proud to be an Equal Opportunity Employer (EOE). All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.

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