Insurance Authorization and Scheduling Specialist

Description

About MedBridge

MedBridge is a leading provider of sleep laboratory management services and sleep therapy. We partner with hospitals and physician practices to offer fully integrated, comprehensive services for patient identification, testing, diagnosis, treatment, and long-term care management of patients with sleep disorders.

Position: Insurance Authorization and Scheduling Specialist

Location:

This is a remote position. However, remote work is a privilege, not an entitlement. Adherence to productivity and professionalism is required to maintain eligibility.

Candidates must reside in one of the following states and operate on Eastern Standard Time (EST): CT, DC, FL, GA, MD, NY, NC, OH, PA, SC, or VA.

Position Overview:

The Insurance Authorization and Scheduling Specialist plays a critical role in ensuring patients have the necessary insurance coverage for the services provided. This position involves close interaction with patients and insurance companies to facilitate a seamless patient experience. A successful candidate will demonstrate excellent communication, organizational skills, and a proactive approach to problem-solving.

Key responsibilities include managing insurance verifications, obtaining authorizations, maintaining accurate records, and scheduling procedures while ensuring timely and professional service.

Key Responsibilities:

Insurance Authorization:

• Verify insurance coverage and obtain necessary referrals for patients.
• Update patient information and maintain accurate records in the system.
• Prepare and submit documentation required for billing.
• Conduct online benefits verification, pre-authorization, and eligibility checks.
• Maintain strong working knowledge of insurance benefits, exclusions, and co-insurance.
• Collaborate with team members in a fast-paced environment, ensuring accuracy and efficiency.

Scheduling:

• Answer incoming calls and assist with patient intake and scheduling.
• Collect and accurately enter patient demographic and insurance information into the Electronic Medical Records (EMR) system.
• Provide clear communication to patients regarding appointments and any requirements.
• Work closely with referral sources to obtain additional information or update them on scheduling statuses.
• Address patient inquiries and concerns related to accounts or scheduling.

Additional Expectations:

• Maintain a high level of detail and organization in all tasks.
• Adhere to a 90-day probation period with no missed days, tardiness, or early departures.
• Demonstrate the ability to handle high-pressure situations with professionalism.

Qualifications:

• High school diploma or GED required.
• Previous experience in insurance pre/prior authorization (minimum 1 year).
• Familiarity with medical terminology and insurance portals.
• Clear and effective communication skills, both verbal and written.
• Strong attention to detail and organizational abilities.
• Must have an appropriate home office setup with reliable internet.
• Excellent attendance record in previous roles.

Benefits:

• Health, dental, and vision insurance.
• Paid time off.
• 401(k) with company match.
• Additional benefits available.

Equal Employment Opportunity:

MedBridge Healthcare LLC and its subsidiaries are committed to providing equal opportunities to all individuals, regardless of race, color, religion, ethnicity, gender, age, disability, sexual orientation, gender identity, veteran status, or any other legally protected characteristic.