Location: Spring,TX, USA
intake specialist.
+ spring , texas (remote)
+ posted november 27, 2024
**job details**
summary
+ $22 - $24 per hour
+ temporary
+ high school
+ category business and financial operations occupations
+ referenceAB_4667447
job details
The Intake Specialist verifies insurance benefits for new patient referrals and re-verifies existing patient benefits as indicated by policy. Obtains pre-certifications, pre-determinations, and authorizations for services per insurance guidelines. Evaluates profitability of therapies and communicates issues. This is a 3 to 6 month fully REMOTE opportunity. Ideal candidate MUST live in the CST/EST time zones and able to work CST. Critical Skils and Qualifications:
+ Two or more years of related experience in a healthcare industry, preferably intake/patient access experience.
+ Experience with infusioninjectable medication prior authorizations
+ Must be able to communicate effectively, both orally and in writing.
+ Must demonstrate an understanding of reimbursement practices including government program regulation and managed care contracting
+ Experience working in, and managing changing priorities, in a high volume, fast-paced work environment.
+ Excellent personal computing skills and a working knowledge of MS Office software
+ Maintains clear communication with customers regarding mutual expectations. Takes personal responsibility and accountability for correcting customer-service problems.
+ Ability to work well as part of a collaborative team as well as independently.
+ EPIC EMR Experience highly preferred
salary: $22 - $24 per hour
shift: First
work hours: 7 AM - 6 PM
education: High School
Responsibilities
+ Manage work queue to department standards for productivity and quality.
+ Verifies insurance benefits for new patient referrals.
+ Re-verifies insurance benefits for existing patients.
+ Accurately evaluates charge and reimbursement estimates for infusion therapies.
+ Reviews all medical documentation against medical policy and initiates/obtains pre-determination, pre-certification, and authorizations as needed.
+ Follow-up on pending pre-certifications and/or pre-determinations until the outcome is decided.
+ Updates and maintains insurance and authorization information in the billing software.
+ Obtains PCP referrals as needed.
+ Completes special projects as assigned.
+ Performs other job-related duties as assigned.
Skills
+ Insurance Verification
+ Healthcare
Qualifications
+ Years of experience: 2 years
+ Experience level: Experienced
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Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.
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**rosalind wells**
+ ...@randstadusa.com