Payor Clearance - Silver Spring - Networks Connect Inc

    Networks Connect Inc
    Networks Connect Inc Silver Spring

    21 hours ago

    $55,000 - $64,000 (USD) per year
    Description
    Job Description
    Networks Connect is conducting a search for Payor Clearance that will work in office. Join Networks Connect LLC, a leading staffing agency, as we seek a skilled Insurance Authorization Specialist for an exciting opportunity in the healthcare sector in the Silver Spring, MD area. This role is perfect for individuals with extensive experience in healthcare insurance processes, looking to leverage their expertise in a dynamic environment. If this Insurance Authorization Specialist role aligns with your career aspirations, apply now at www.networks- and be part of a team that values making a difference in the healthcare sector
    Earnings
    $55,000 -$64,000 salary
    Location - In Office
    • Silver Spring, MD
    Schedule
    • Monday to Friday, full-time on-site role.
    Job Type
    Duties
    • Insurance Liaison: Work directly with physician offices, insurance carriers, and patients, ensuring complete insurance clearance prior to care provision.
    • Patient Access Workflows: As part of the Patient Access team, you'll be instrumental in navigating insurance prior authorization processes for various services, ensuring patient care continuity.
    • Full Cycle Payor Navigation: Bring your 3+ years of healthcare experience into play, managing authorizations, billing, healthcare registration, and more.
    • Pre-Service Payor Clearance: Ensure pre-registration accuracy, verify insurance, and manage patient financial responsibilities efficiently.
    • Patient Navigation and Notification: Act as a liaison for patients, managing insurance and financial aspects with clarity and empathy.
    • Embrace a customer-focused approach.
    • Foster teamwork and communication.
    • Identify and implement process improvements.
    • Manage resources efficiently and responsibly.
    • Prioritize safety and accuracy in all tasks.
    Requirements
    • Training: Completion of all Patient Access training assessments.
    • Language Skills: Bilingual abilities are a plus.
    • Software Proficiency: Experience with Cerner, Experian, or similar EMR systems preferred.
    • Skills: Excellent communication, customer service, problem-solving, and computer skills.
    • Experience: 3 years in healthcare, covering full cycle payor navigation, and 2 years in medical/insurance terminology. CPT and ICD coding experience also essential. Must have experience with full cycle prior authorizations.
    • Full Cycle Prior Authorization: 4 years (Required)
    License / Certification
    • Educational Background: High School Diploma/GED required.
    Benefits
    • Paid time off.
    • Full benefits package including 401(k), health, dental, life, and vision insurance.
    • Competitive salary ($55,000 - $64,000 per year).

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