Post job

Authorization specialist jobs near me

- 707 jobs
jobs
Let us run your job search
Sit back and relax while we apply to 100s of jobs for you - $25
  • Construction & Commissioning Scheduler

    Blackrock Resources LLC 4.4company rating

    Authorization specialist job in New Albany, OH

    You must be able to work in the U.S. without sponsorship. No C2C or 3rd parties, please. Schedule: Full-time | On-site presence required Industry: Industrial/Power/Data Center Construction We're looking for an experienced Construction & Commissioning Scheduler to support large-scale, complex projects from the ground up. This is a hands-on, on-site role where you'll collaborate with project management, engineering, and field teams to develop and maintain detailed schedules that drive successful project delivery. What You'll Do: Build and manage comprehensive Primavera P6 schedules across engineering, procurement, construction, and commissioning phases. Partner with project managers, superintendents, and subcontractors to keep timelines accurate and achievable. Track progress, analyze variances, and recommend adjustments to keep projects on target. Generate look-ahead schedules, performance reports, and updates for leadership and client reviews. Support forecasting, resource loading, and earned value analysis to ensure clear visibility into project health. Align construction and commissioning activities for smooth transitions and seamless project closeouts. What You Bring: Bachelor's degree in Engineering, Construction Management, or a related field (or equivalent experience). 5+ years of experience scheduling large-scale industrial, data center, or power generation projects. Strong command of Primavera P6. Proven track record supporting both construction and commissioning phases. Excellent communication, organizational, and analytical skills. Ability to work on-site in New Albany, Ohio. Preferred Experience: EPC or large-scale construction background. Knowledge of commissioning processes and turnover documentation. Familiarity with cost control, earned value management, and integration with project systems like Excel, Power BI, or CMMS tools. If you thrive in a fast-paced, collaborative environment and enjoy bringing structure to complex projects, this could be the perfect next step for you.
    $65k-91k yearly est. 2d ago
  • Construction Scheduler - P6

    IES Communications 3.7company rating

    Authorization specialist job in Columbus, OH

    THIS IS NOT A REMOTE ROLE. YOU MUST RESIDE IN THE COLUMBUS AREA TO BE ON-SITE DAILY The Construction Scheduler will work with the Project Manager to create timetables to manage both time and resources to ensure work is completed on time. Job Duties and Responsibilities: The Scheduler will manage the workload distribution and monitor the customer delivery and job installation progress. The Scheduler will coordinate with Project Management and Leads/Superintendents to create and maintain calendar for project implementation to completion. The Scheduler will identify and anticipate schedule disparities and correct or report to Project Management. The Scheduler will provide to the Project Manager all needed elements to issue Weekly/Monthly Reports The Scheduler performs other responsibilities as assigned. Physical and Mental Requirements: MUST have 2+ years experience with Primavera P6 The Scheduler must be self-motivated, positive in approach, professional and lead others to create, develop and implement project process improvement(s). The Scheduler must promote the Company culture and mission to all employees, vendors, clients and business partners. The Scheduler must have proven problem solving skills, critical thinking skills and the ability to effectively read, write and give oral presentation(s). The Scheduler must have proven high skill level to interpret blueprints and other project documents, including but not limited to, specifications, reporting and quality requirements. The Scheduler must have the ability to learn Company project management systems. Education, Certification, License, and Skill Requirements: Must possess at least a High School diploma or GED equivalency. Must have a working knowledge of Oracle Primavera and Microsoft Project Must have experience in customer interface, such as liaison between the customer and the Company. Must have a minimum of three (3) years of experience scheduling in telecommunications or a related technical or construction field. Must be proficient with Microsoft Office (Word, Excel and MS Project). Must meet Company minimum driving standards. Must be able to manage multiple tasks/projects simultaneously.
    $30k-60k yearly est. 4d ago
  • Home Base Patient Services Coordinator II (PSC II)

    Massachusetts Eye and Ear Infirmary 4.4company rating

    Remote authorization specialist job

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial “face and attitude” of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions -Perform routine administrative and clerical duties relating to a clinical service or physician practice office. -Make patient appointments and maintain appointment records. -Greet and assist patients. -Answer telephones, assist callers with routine inquiries, and schedule appointments. -File materials in patient folders and print appointment schedules. -Process patient billing forms and scan documents to patient medical record/LMR. -Call for patient medical records and laboratory test results. -Open and distribute unit mail or faxes. -Type forms, records, schedules, memos, etc., as directed. -Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. -Acts as "Super User" for scheduling, registration and billing systems. -Provides assistance and training to others in these areas. -May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities - Proficiency with all Office Suite, -Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. - Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. - Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. - Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. - Managing one's own time and the time of others. - Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical Requirements Standing Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership “looks like” by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $17.4-24.5 hourly Auto-Apply 14d ago
  • Authorization Specialist II #Full Time #Remote

    61St. Street Service Corp

    Remote authorization specialist job

    Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors . This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area (New York, New Jersey, or Connecticut). Note: There may be occasional requirements to visit the New York or New Jersey office for training, meetings, and other business needs. Job Summary: The Authorization Specialist II is responsible for verifying insurance policy benefit information, and securing payer required authorizations. This position is responsible for obtaining accurate and timely pre-authorizations for professional services prior to the patient s visit, scheduled admission, or immediately following hospital admission. Prior authorizations may include, but are not limited to surgical procedures, outpatient treatments, medications and diagnostic testing (i.e. ultrasounds, labs, radiology, IV therapy, referrals) Job Responsibilities: Verifies insurance coverage via system tools, payer portals, etc. and update changes in billing system. Confirms provider s participation status with patient s insurance plan/network. Determines payer referral and authorization requirements for professional services. Contacts patient and PCP to secure payer required referral for planned services. Documents referral in practice management system. Researches system notes to obtain missing or corrected insurance or demographic information. Reviews clinical documentation to insure criteria for procedure meets insurance requirements. Initiates authorization and submits clinical documentation as requested by insurance companies. Follows through on pre-certifications until final approval is obtained. Communicates with surgical coordinators regarding authorizations status or denials. Submits appeals in the event of denial of prior authorizations or denial of payment following procedures. Set up peer to peer calls with clinical providers and insurance companies, as needed. Calculate and document patient out of pocket estimates and provide to patient. Assists Supervisor with special projects and/or tasks. Assists Authorization-Referrals Specialist I with complex cases or questions. Serves as back-up to Authorization-Referrals Specialist III. Performs other job duties as assigned. Please note: While this position is primarily remote, candidates must be in a Columbia University approved telework state. There may be occasional requirements to visit the office for meetings or other business needs. Travel and accommodation costs associated with these visits will be the employee's responsibility and not be reimbursed by the company. Job Qualifications: High school graduate or GED certificate is required. A minimum of 1-year experience in a physician s billing or third payer environment. Candidate must demonstrate the ability to understand and navigate managed care eligibility, insurance billing requirements, and obtaining pre-authorizations. Candidate must demonstrate strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. Must demonstrate effective communication skills both verbally and written. Ability to multi-task, prioritize, document, and manage time effectively. Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) Functional proficiency and comprehension of medical terminology. Experience in Epic and or other electronic billing systems is preferred. Knowledge of medical terminology, diagnosis and procedure coding is preferred. Previous experience in an academic healthcare setting is preferred. Hourly Rate Ranges: $23.69 - $32.00 Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education. 61st Street Service Corporation At 61 st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer and we adhere to all requirements of all applicable federal, state, and local civil rights laws.
    $23.7-32 hourly 5d ago
  • Authorization Specialist II- Evernorth

    Cigna 4.6company rating

    Remote authorization specialist job

    As an Authorization Specialist II, you will help ensure patients receive timely access to therapy by overseeing prior authorization workflows, supporting clinical partners, and guiding team members through consistent, high‑quality processes. You will play a key role in improving efficiency, enhancing service delivery, and supporting a compassionate, patient‑focused care experience. Responsibilities Oversee authorization processes, including formulary exceptions and renewal timelines, ensuring accuracy and compliance. Direct daily workflow for authorization specialists, aligning operations with patient needs and departmental priorities. Develop work schedules, lead staff meetings, and communicate updates regarding internal processes and contracts. Support recruitment, onboarding, training, and competency development to maintain a skilled team. Monitor team performance, provide feedback, and recommend corrective action when needed. Ensure productivity, regulatory compliance, and accreditation standards are consistently met. Serve as a resource for team members, helping troubleshoot authorization issues and operational challenges. Collaborate on identifying process efficiencies and presenting improvement ideas to leadership. Perform responsibilities according to organizational competencies and behaviors. Complete additional duties as assigned to support operational excellence. Required Qualifications High school diploma or GED. Minimum 2 years of experience in pharmacy claims, pharmacy technician support, or related healthcare roles. Knowledge of medical terminology and coordination of benefits. Proficient computer and Microsoft Office skills. Strong customer service orientation and ability to maintain confidentiality. Preferred Qualifications Experience with payer websites and authorization requirements. Familiarity with pharmacy payer systems and workflows. Ability to work independently with minimal supervision. Strong organizational, communication, and time‑management skills. If you will be working at home occasionally or permanently, the internet connection must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.For this position, we anticipate offering an hourly rate of 19 - 29 USD / hourly, depending on relevant factors, including experience and geographic location. This role is also anticipated to be eligible to participate in an annual bonus plan. At The Cigna Group, you'll enjoy a comprehensive range of benefits, with a focus on supporting your whole health. Starting on day one of your employment, you'll be offered several health-related benefits including medical, vision, dental, and well-being and behavioral health programs. We also offer 401(k), company paid life insurance, tuition reimbursement, a minimum of 18 days of paid time off per year and paid holidays. For more details on our employee benefits programs, click here. About The Cigna Group Doing something meaningful starts with a simple decision, a commitment to changing lives. At The Cigna Group, we're dedicated to improving the health and vitality of those we serve. Through our divisions Cigna Healthcare and Evernorth Health Services, we are committed to enhancing the lives of our clients, customers and patients. Join us in driving growth and improving lives. Qualified applicants will be considered without regard to race, color, age, disability, sex, childbirth (including pregnancy) or related medical conditions including but not limited to lactation, sexual orientation, gender identity or expression, veteran or military status, religion, national origin, ancestry, marital or familial status, genetic information, status with regard to public assistance, citizenship status or any other characteristic protected by applicable equal employment opportunity laws. If you require reasonable accommodation in completing the online application process, please email: ********************* for support. Do not email ********************* for an update on your application or to provide your resume as you will not receive a response. The Cigna Group has a tobacco-free policy and reserves the right not to hire tobacco/nicotine users in states where that is legally permissible. Candidates in such states who use tobacco/nicotine will not be considered for employment unless they enter a qualifying smoking cessation program prior to the start of their employment. These states include: Alabama, Alaska, Arizona, Arkansas, Delaware, Florida, Georgia, Hawaii, Idaho, Iowa, Kansas, Maryland, Massachusetts, Michigan, Nebraska, Ohio, Pennsylvania, Texas, Utah, Vermont, and Washington State. Qualified applicants with criminal histories will be considered for employment in a manner consistent with all federal, state and local ordinances.
    $30k-37k yearly est. Auto-Apply 6d ago
  • Scheduling Specialist Remote after training

    Radiology Partners 4.3company rating

    Remote authorization specialist job

    RAYUS now offers DailyPay! Work today, get paid today! RAYUS Radiology is looking for a Scheduling Specialist to join our team. We are challenging the status quo by shining light on radiology and making it a critical first step in diagnosis and proper treatment. Come join us and shine brighter together! As a Scheduling Specialist, you will be responsible for providing services to patients and referring professionals by answering phones, managing faxes and scheduling appointments. This is a full-time position working 9:00AM - 5:30PM CST Mon-Fri, Rotating Saturday 7am-1pm CST. ESSENTIAL DUTIES AND RESPONSIBILITIES: (85%) Scheduling Activities Answers phones and handles calls in a professional and timely manner Maintains positive interactions at all times with patients, referring offices and team members Schedules patient examinations according to existing company policy Ensures all appropriate personal, financial and insurance information is obtained and recorded accurately Ensures all patient data is entered into information systems completely and accurately Ensures patients are advised of financial responsibilities, appropriate clothing, preparation kits, transportation and/or eating prior to appointment Communicates to technologists any scheduling changes in order to ensure highest level of patient satisfaction Maintains an up-to-date and accurate database on all current and potential referring physicians Handles overflow calls for other centers within market to ensure uninterrupted exam scheduling for referring offices Provides back up coverage for front office team members as requested by supervisor (i.e., rest breaks, meal breaks, vacations and sick leave) Fields 1-800 number calls and routes to appropriate department or associate (St. Louis Park only (10%) Insurance Activities Pre-certifies all exams with patient's insurance company as required Verifies insurance for same day add-ons Uses knowledge of insurance carriers (example Medicare) and procedures that require waivers to obtain authorization if needed prior to appointment (5%) Other Tasks and Projects as Assigned
    $33k-39k yearly est. 2d ago
  • Wholesale Billing Specialist

    Nebraska Public Power District 4.8company rating

    Authorization specialist job in Columbus, OH

    Nebraska Public Power District (NPPD) has an immediate opening for a Wholesale Billing Specialist located at Columbus General Office in Columbus, Nebraska. Position closes January 4 at 11:59 p.m. Central Time. will report to the Wholesale Billing Manager. Position Summary The Wholesale Billing Specialist has overall responsibility for the implementation of the monthly wholesale billing processes and preparation of wholesale power bills, customer billing reports and transmission service bills in an accurate and expeditious manner each month. Incumbent is a primary contact for wholesale power and/or transmission customers to answer and provide information for all billing questions. The Wholesale Billing Specialist must be detail-oriented and be accurate in his/her work. Time management skills are essential in this position. Incumbent must be able to communicate technical billing issues (verbally and written) effectively and accurately. The Incumbent understands and applies the provisions of NPPD's various rates for services (GFPS, Special Power Projects, T-2 and ST, and their replacements) and will maintain and apply basic understanding of electric system fundamentals and operations, delivery of power and energy, metering principles, revenue metering and electric industry terms (demand, energy, point of delivery, point of measurement, loss factor, on-peak and off-peak hours, etc.). Incumbent embraces and exhibits a strong safety culture by making safety considerations a core part of doing business. Education, Training and Experience Bachelor's degree in business or technical/engineering related field plus 1 year of experience as described below. (OR) Associate's degree in business or a technical/engineering related field plus 3 years experience as described below. (OR) High School diploma/GED plus 5 years experience as described below. Experience: Experience in electric utility customer billing, working with customers to resolve utility issues , electric utility operations, electric utility technical studies and analysis, or experience in revenue metering is required. Experience in both utility customer billing and revenue metering is preferred. Licenses and/or Certifications None Essential Duties & Responsibilities Interrogation, validation, correction (if necessary), maintenance and support of metered power and energy data from NPPD's wholesale metering points, various retail metering points and outside entities in conjunction with NPPD's Wholesale Billing and Reporting Database System (MV-90). Review and analyze customer reports. Verify appropriate billing losses (standard, actual, irrigation, non-irrigation) and Western Area Power Association (WAPA) x/y ratios to determine loads at NPPD's billing location (Bus A), meter data (outages, meter malfunctions, load shifts) and other information necessary to support the billing process and validate the accuracy of bills . Prepare wholesale power bills per department completion date for customers (blend, gen station, combo, limit/reduce) purchasing wholesale power service and transmission services under NPPD's GFPS, Special Power Products, T2, and ST rates and their replacements, research and include monthly load shifts and demand waiver requests, verify previous ratchet billed amounts and seasonal WAPA irrigation pumping allocation, determine sub-t planning and operations charge and reschedule reports and regenerate past months invoices to include adjustments (if required). Accountable for other duties as assigned. Core Competencies Customer FocusEmployees & Teamwork/Diversity & InclusionIntegrity/ExcellencePublic Service/Environmental StewardshipSafety Salary Information - Nebraska Public Power District offers a competitive starting salary with opportunities for growth. In addition to the base salary range listed below, NPPD employees may also be eligible for our Annual Incentive Program (AIP) that may supplement total compensation at a level above and beyond the stated salary range. Successful applicants will be provided more information regarding the incentive program at the time of an interview. Pay Grade - 12 Monthly Typical Pay Grade Starting Salary Range: $6,288.00 - $7,860.00 Travel Required: Up to 25% (With no or minimal overnight stays, less than 3 per month, typically within state of Nebraska) Travel required may fluctuate by business need. This is an estimate and will be discussed further with candidates that receive an interview. Nebraska Public Power District offers a competitive starting salary and an excellent benefits package including medical and dental insurance, 401K retirement plan, paid holidays, paid vacation, paid medical, training opportunities and more. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact Human Resources at Nebraska Public Power District. Nebraska Public Power District is an Equal Opportunity Employer
    $6.3k-7.9k monthly 9d ago
  • Billing Specialist

    Emergency Ambulance Service Inc. 3.9company rating

    Remote authorization specialist job

    Job Description Billing/Collections Specialist Billing/Collection Agent Full Time Billing / Collections Specialist Full TIME BILLING/COLLECTIONS POSITION AVAILABLE IN FISHKILL, NY LOOKING FOR A RELIABLE CANDIDATE!!!!!!! HOURS: 8AM - 4:30PM Monday through Friday Must be motivated and detail oriented. Must have a strong background in Medicare, insurance and patient collections as well as all other aspects of billing. THIS POSITION IS NOT A REMOTE POSITION, PLEASE CONSIDER CAREFULLY EMAIL RESUME AND SALARY REQUIREMENTS Job Type: Full-time Pay: From $18.00 per hour - $25.00 per hour
    $18-25 hourly 14d ago
  • Clinical Scheduling Specialist

    Midi Health

    Remote authorization specialist job

    Master Clinical Scheduler @ Midi Health: 👩 ⚕️💻 Midi is seeking an experienced Master Scheduler to join our cutting edge healthcare start-up. This is a rare opportunity to start at the ground level of a fast-growing healthcare practice! We offer a flexible work schedule and 100% remote environment with a competitive salary, benefits and a kind, human-centered environment. Business Impact 📈 Sole responsibility for creating every Midi clinician's schedule in Athena Daily monitoring of clinician schedules Management of patient waiting list to backfill patients as times become available Rescheduling of patients as needed Adjustment of clinician schedules as needed Cross-coverage of Care Coordinator Team responsibilities as assigned What you will need to succeed: 🌱 Availability! 5 days per week, 8 hour shift + 30 min unpaid lunch - 9:30 AM to 6 PM PST Minimum of five (3) years as a Clinical Scheduler building clinician schedules (preferably in AthenaHealth) Minimum of 1 year experience working for a digital healthcare company Proficiency in scheduling across multiple time zones Self-starter with strong attention to detail What we offer: Compensation: $30/hour, non-exempt Full Time, 40-hour work-week Fully remote, work from home opportunity! Benefits (medical, dental, vision, 401k) The interview process will include: 📚 Interview with Recruiter (30 min Zoom) Interview with Scheduling Supervisor + Lead Scheduler (30 min Zoom) Final Interview with Practice Manager (30 min Zoom) ***Scheduled Shift Time is M-F 9:30am-6pm PST*** Thanks for your interest in Midi 👋While you are waiting for us to review your resume, here is some fun content to check out! Check us out here and here. Trust that our patients love❣️us! #Menopauseishot #LI-DS1 Please note that all official communication from Midi Health will come from **************** email address. We will never ask for payment of any kind during the application or hiring process. If you receive any suspicious communication claiming to be from Midi Health, please report it immediately by emailing us at ********************. Midi Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. Please find our CCPA Privacy Notice for California Candidates here.
    $30 hourly Auto-Apply 13d ago
  • Federal Government Billing Specialist

    Agilent Technologies 4.8company rating

    Remote authorization specialist job

    Agilent is seeking a proactive and detail-oriented Federal Government Billing Specialist to join our Customer Operations Center (COpC). This position plays a key role in supporting the Order Management process by ensuring accurate and compliant billing for federal contracts. The ideal candidate will manage complex invoices in accordance with FAR, DFARS, CAS, and other agency-specific billing requirements, while maintaining operational excellence and compliance across all transactions. Working within the COpC, this role partners closely with cross-functional teams across Agilent, including Credit and Collections, Revenue team, Sales and other COpC teams, to ensure timely and compliant billing. The Specialist will also support internal and external audits, uphold high standards of data accuracy, and contribute to continuous improvement initiatives within the Customer Operations Center. Key Responsibilities Prepare and submit invoices via federal platforms (WAWF, IPP, Tungsten, etc.). Review contract terms and funding modifications for billing accuracy. Monitor unbilled receivables and resolve holds or rejections. Collaborate with Contracts, Project Management, Accounting, and other COpC teams. Maintain billing documentation and support audits (DCAA, DCMA). Assist with month-end close activities and revenue reconciliation. Ensure compliance with federal regulations and company policies. Provide excellent customer service to government agencies and internal teams. Manage portal invoicing based on agency-specific requirements to prevent rework and ensure timely payment. Act as liaison with the collections team to resolve issues and ensure billing integrity. Additional Information This is a complex role requiring adaptability, attention to detail, and a customer-focused mindset. You'll thrive in a fast-paced, diverse environment where ownership and collaboration are key. Schedule: Flexibility required; occasional overtime and late hours on the last working day of each month Qualifications Required Qualifications Associate's or Bachelor's degree in Accounting, Finance, or related field (or equivalent experience). 2+ years of experience in federal billing or government contract accounting. Familiarity with FAR/DFARS and federal audit processes. Proficiency in Microsoft Excel and ERP systems (SAP, Oracle, Deltek). Strong communication, organizational, and time management skills. Ability to work independently and manage multiple priorities. Preferred Qualifications Experience with DCAA-compliant accounting systems. Knowledge of indirect rate structures and cost allocations. Prior experience in a government contractor environment. SAP/CRM experience. Proficiency in Microsoft Office Suite (Outlook, Excel, Word, PowerPoint, OneNote). Additional Details This job has a full time weekly schedule. It includes the option to work remotely. Applications for this job will be accepted until at least November 10, 2025 or until the job is no longer posted.The full-time equivalent pay range for this position is $28.27 - $44.17/hr plus eligibility for bonus, stock and benefits. Our pay ranges are determined by role, level, and location. Within the range, individual pay is determined by work location and additional factors, including job-related skills, experience, and relevant education or training. During the hiring process, a recruiter can share more about the specific pay range for a preferred location. Pay and benefit information by country are available at: ************************************* Agilent Technologies, Inc. is an Equal Employment Opportunity and merit-based employer that values individuals of all backgrounds at all levels. All individuals, regardless of personal characteristics, are encouraged to apply. All qualified applicants will receive consideration for employment without regard to sex, pregnancy, race, religion or religious creed, color, gender, gender identity, gender expression, national origin, ancestry, physical or mental disability, medical condition, genetic information, marital status, registered domestic partner status, age, sexual orientation, military or veteran status, protected veteran status, or any other basis protected by federal, state, local law, ordinance, or regulation and will not be discriminated against on these bases. Agilent Technologies, Inc., is committed to creating and maintaining an inclusive in the workplace where everyone is welcome, and strives to support candidates with disabilities. If you have a disability and need assistance with any part of the application or interview process or have questions about workplace accessibility, please email job_******************* or contact ***************. For more information about equal employment opportunity protections, please visit *************************************** Required: NoShift: DayDuration: No End DateJob Function: Customer Service
    $28.3-44.2 hourly Auto-Apply 57d ago
  • Work from Home - Insurance Verification Representative

    Creative Works 3.2company rating

    Remote authorization specialist job

    We are recruiting 100 entry level Remote Insurance Verification Representatives in FL, NV, SD, TX, and WY. If you are looking for steady work from home with consistent pay then this is the opportunity for you. To make sure this is a fit for you, please understand: You will be on the phone the entire shift. You will need to overcome simple objections and maintain a positive attitude. You will need to purchase a USB Headset (if you don't already have one). True W2 pay check and direct deposit company (not gimmick 1099 pay) No phone line needed No cellphone needed No driving required No people to meet No packaging materials No shipping No ebay accounts No phone experience needed (but a serious advantage) Company Culture This compant prides itself on empowering their team to be responsible, "show up" on time for their shift(s), and stay focused on their task(s) the whole time. Working from home is a blessing, but it can also be the biggest distraction. That's why they their staff with the utmost respect and expect the same from them. This is a serious opportunity from one of the most modern work from home companies on the planet. They are literally a bunch of people spread out around the country with a common goal of helping select customers complete their car insurance quotes. They skype together all day and everyone supports eachother as a team even though 95% all work from REMOTE locations. This company has been in the online and insurance marketing business for over 3 years now, and the founder has been in this industry for over 10 years now. Compensation $8.25/hr starting or 3$ per lead depending on which is more. Focused and aggressive verifiers make $15-$19 an hour. Scheduling The shifts that are available are 9am-1pm / 1pm-5pm / 5pm-9pm M-F. (Eastern Time). Depending on your location and availability you will be assigned (1) of these shifts temporarily until you are well trained and established. You will start as PART TIME. Once you are established Full time is possible and many reps choose full time. Full on-going success training is provided. (You are NOT required to purchase training materials or anything from them or us.) Again all you need is your own computer, high speed internet, 5 MBPS Download Speeds and 1 MBPS Upload Speeds USB headset.
    $15-19 hourly 60d+ ago
  • Orthopedic Practice Scheduling Specialist

    Hand and Microsurgery Associates

    Authorization specialist job in Columbus, OH

    The Scheduling Specialist serves as the primary point of contact for patients seeking orthopedic care. This role is responsible for accurately scheduling appointments, managing referrals, gathering required demographic and insurance information, and ensuring timely access to providers while delivering a high level of patient service. Accuracy, efficiency, and professionalism are essential to support clinic flow and revenue cycle success. Summary Primary Responsibilities- Communications: Patient Scheduling & Access Answer high-volume inbound calls in a professional, courteous manner Schedule new and established patient appointments according to provider templates, urgency, and practice protocols Appropriately triage appointment requests (routine, urgent, post-op, imaging follow-up, etc.) Coordinate appointments across multiple providers, locations, and services (clinic, imaging, therapy, procedures) Manage rescheduling, cancellations, and waitlists to optimize provider availability Referrals & Documentation Receive, review, and process referrals from external providers Ensure required referral documentation is complete prior to scheduling Communicate with referring offices as needed to obtain missing information Document all patient interactions accurately in the electronic medical record (EMR) Insurance & Demographics Collect and verify patient demographics and insurance information at the time of scheduling Confirm reason for visit, affected body part, laterality, and prior imaging or treatment Demonstrates working knowledge of common insurance plans, referral requirements, and benefit limitations to ensure appropriate scheduling and minimize downstream billing issues Customer Service & Communication Provide clear, compassionate communication to patients who may be in pain or distressed Set appropriate expectations regarding appointment availability, arrival time, and visit preparation Collaborate closely with clinical staff, billing, referrals, and leadership to ensure smooth patient flow Escalate concerns or complex scheduling issues to leadership when needed Performance & Compliance Follow HIPAA and practice policies at all times Participate in training, process improvement initiatives, and team meetings Train and mentor incoming staff Special projects and other duties as assigned Qualifications: Two or more years' experience in patient scheduling in a private practice Orthopedic office patient care and scheduling experience preferred Five years customer service/ communication experience in health care setting preferred Health care insurance and medical terminology preferred Proven ability to adhere to deadlines Critical thinking and decision-making skills Strong communication skills Solid software skills related to learning third party programs Microsoft Office and Windows fluency Detail oriented and highly dependable Ability to type 30 words per minute Physical Demands by Position: This position regularly requires the employee stand, walk, use hands, talk, and hear. Bending and lifting may be to complete certain tasks in regarding to filing or equipment troubleshooting. Specific vision requirements consist of close vision, distant vision, color vision, and the ability to adjust focus. Work Environment: The selected candidate will be required to wear employer-purchased scrubs while on duty. Noise level is moderate OSHA Blood Borne Pathogen Employee Exposure Categories - (One Category must be checked) Category 1:______ Employees whose job functions involve routine or potential exposure to blood, body fluids or tissues (Direct patient care jobs) Category 2:______ Employees whose job functions involve no routine exposure to blood, body fluids or tissues, but employment may require performing unplanned Category 1 tasks. (Indirect patient care jobs, i.e. Intake Specialist or Greeter) Category 3:___X____ Employees whose job functions involve no exposure to blood, body fluids or tissues, and Category 1 and 2 tasks are not a condition of employment (back office, administrative) Sensitive Information Qualifications: Access to NextGen EHR Access to patient records, surgical notes, and various health insurance websites Acknowledges understanding of HIPAA Regulations and Guidelines Access to patient credit and personal information, credit cards and cash
    $28k-41k yearly est. 3d ago
  • Bilingual Insurance Verification Specialist (Remote)

    Globe Life Family of Companies 4.6company rating

    Remote authorization specialist job

    At Globe Life we are committed to empowering our employees with the support and opportunities they need to succeed at every stage of their career. We take pride in fostering a caring and innovative culture that enables us to collectively grow and overcome challenges in a connected, collaborative, and mutually respectful environment that calls us to Make Tomorrow Better. Role Overview: Could you be our next Bilingual Insurance Verification Specialist? Globe Life is looking for a Bilingual Insurance Verification Specialist to join the team! In this role, you will verify life and health insurance applications directly with potential customers. This is a vital part of our Company's New Business and Underwriting process. The information you verify and gather directly affects whether the Company will decline or issue a policy. This is a remote / work-from-home position. What You Will Do: Make outbound calls to potential customers to verify and document required information to finalize applications for underwriting assessment. Use the Quality Assurance database and conduct appropriate assessments on what additional customer information or verification is needed. Clearly explain the application process to potential customers. Accurately complete additional paperwork as needed. Maintain appropriate levels of communication with management regarding actions taken within the Quality Assurance database. Transfer calls to the appropriate department as needed. Successfully meet the minimum expectation for departmental key performance indicators (K.P.I's). What You Can Bring: Minimum typing requirement of 35 wpm. Excellent oral and written communication in both English and Spanish Required. Superior customer service skills required - friendly, efficient, good listener. Proficient use of the computer, keyboard functions, and Microsoft Office. Ability to multitask and work under pressure. Knowledge of medical terminology and spelling is a plus. Excellent organization and time management skills. Must be detail-oriented. Have a desire to learn and grow within the Company. Applicable To All Employees of Globe Life Family of Companies: Reliable and predictable attendance of your assigned shift. Ability to work full-time and/or part-time based on the position specifications. How Globe Life Will Support You: Looking to continue your career in an environment that values your contribution and invests in your growth? We've created a benefits package that helps to ensure that you don't just work, but thrive at Globe Life: Competitive compensation is designed to reflect your expertise and contribution. Comprehensive health, dental, and vision insurance plans because your well-being is fundamental to your performance. Robust life insurance benefits and retirement plans, including a company-matched 401 (k) and pension plan. Paid holidays and time off to support a healthy work-life balance. Parental leave to help our employees welcome their new additions. Subsidized all-in-one subscriptions to support your fitness, mindfulness, nutrition, and sleep goals. Company-paid counseling for assistance with mental health, stress management, and work-life balance. Continued education reimbursement eligibility and company-paid FLMI and ICA courses to grow your career. Discounted Texas Rangers tickets for a proud visit to Globe Life Field. Opportunity awaits! Invest in your professional legacy, realize your path, and see the direct impact you can make in a workplace that celebrates and harnesses your unique talents and perspectives to their fullest potential. At Globe Life, your voice matters. INDGLA1001
    $28k-31k yearly est. 60d+ ago
  • Billing Specialist

    Collabera 4.5company rating

    Authorization specialist job in Dublin, OH

    Established in 1991, Collabera has been a leader in IT staffing for over 22 years and is one of the largest diversity IT staffing firms in the industry. As a half a billion dollar IT company, with more than 9,000 professionals across 30+ offices, Collabera offers comprehensive, cost-effective IT staffing & IT Services. We provide services to Fortune 500 and mid-size companies to meet their talent needs with high quality IT resources through Staff Augmentation, Global Talent Management, Value Added Services through CLASS (Competency Leveraged Advanced Staffing & Solutions) Permanent Placement Services and Vendor Management Programs. Job Description Responsible for finance operations such as customer and vendor contract administration, customer and vendor pricing, rebates, billing and chargeback's, processing vendor invoices, developing and negotiating customer and group purchasing contracts Qualifications EXPERIENCE: 2-4 Years Root cause identification Significant Microsoft Excel Skills Communication (will communicate with external suppliers) Chargeback or rebate experience a plus Additional Information Please revert if you are available in the job market; apply to the position & Call me on ************ or send me your application on ******************************.
    $67k-92k yearly est. Easy Apply 60d+ ago
  • V104 - Intake and Scheduling Specialist

    Flywheel Software 4.3company rating

    Remote authorization specialist job

    For ambitious, culturally diverse, curious minds seeking booming careers, Job Duck unlocks and nurtures your potential. We connect you with rewarding, remote job opportunities with US-based employers who recognize and appreciate your skills, allowing you to not just survive but thrive. As a lifestyle company, we ensure that everybody working here has a fantastic time, which is why we've earned the Great Place to Work Certification every year since 2022! Job Description: This role at Job Duck offers the opportunity to support a fast‑paced professional environment where responsiveness and smooth communication truly make a daily impact. The position centers around assisting clients with care, managing incoming calls with a warm and engaging presence, and ensuring that follow‑ups and intakes are handled with clarity and consistency. You will contribute by preparing polished templates, maintaining accurate spreadsheets, and coordinating schedules so operations run seamlessly. A candidate who thrives in this role enjoys interacting with others, communicates with confidence, and stays organized even when navigating multiple software tools at once. If you bring strong English skills and a naturally outgoing approach to your work, you will excel here. • Salary Range: 1,150 USD to 1,220 USD Responsibilities include, but are not limited to: Answering phone calls (approximately 10/day), it can vary Handle scheduling and calendar coordination Support general administrative functions Create and maintain spreadsheets Templates drafting. Client intake and follow-up. Requirements: Strong written and spoken English Excellent grammar and communication skills Responsive and detail‑oriented Comfortable using multiple software platforms simultaneously Outgoing communication style Ability to stay organized while handling varied administrative tasks CRM: Lawmatics VoIP: RingCentral Internal communication: Microsoft Teams Channel, Slack Outlook Work Shift: 9:00 AM - 6:00 PM [EST][EDT] (United States of America) Languages: English, Spanish Ready to dive in? Apply now and make sure to follow all the instructions! Our application process involves multiple stages, and submitting your application is just the first step. Every candidate must successfully pass each stage to move forward in the process. Please keep an eye on your email and WhatsApp for the next steps. A recruiter will be assigned to guide you through the application process. Be sure to check your spam folder as well.
    $30k-43k yearly est. Auto-Apply 11d ago
  • Home Base Patient Services Coordinator II (PSC II)

    Brigham and Women's Hospital 4.6company rating

    Remote authorization specialist job

    Site: The General Hospital Corporation Mass General Brigham relies on a wide range of professionals, including doctors, nurses, business people, tech experts, researchers, and systems analysts to advance our mission. As a not-for-profit, we support patient care, research, teaching, and community service, striving to provide exceptional care. We believe that high-performing teams drive groundbreaking medical discoveries and invite all applicants to join us and experience what it means to be part of Mass General Brigham. Home Base, a Red Sox Foundation and Massachusetts General Hospital program, is dedicated to healing the invisible wounds - including post-traumatic stress, traumatic brain injury, anxiety, depression, co-occurring substance use disorder, family relationship challenges and other issues associated with Military service - for Veterans of all eras, Service Members, Military Families and Families of the Fallen through world-class clinical care, wellness, education, and research. The Home Base Patient Service Coordinator (PSC) serves as a key member of the team that provides superior care and exceptional service to its patients. One critical dimension of this service focuses on patient check-in process and improving the human experience upon our patients' arrival to our practice and throughout the duration of their visit. The Home Base PSC will play an important role in redefining and reinvigorating the patient welcome and check-in experience. The PSC will be the crucial "face and attitude" of this patient-centered practice. While also providing medical scheduling services, the PSC will have the unique opportunity to work within a supportive team setting enabled by systems and technologies that will allow the employee to provide patient care and services at their highest levels. In addition, the PSC will be responsible to assist in special projects when skillset and capacity allow, as deemed appropriate by the Practice Manager. Job Summary Summary Performs both administrative and clinical functions to support smooth and efficient clinical service or practice operations under general supervision. Performs basic clerical work and tasks that are repetitive and routine. Administrative duties related to patient visits including scheduling, check-in, check-out duties. Actual job duties may vary by Department. Does this position require Patient Care? No Essential Functions * Perform routine administrative and clerical duties relating to a clinical service or physician practice office. * Make patient appointments and maintain appointment records. * Greet and assist patients. * Answer telephones, assist callers with routine inquiries, and schedule appointments. * File materials in patient folders and print appointment schedules. * Process patient billing forms and scan documents to patient medical record/LMR. * Call for patient medical records and laboratory test results. * Open and distribute unit mail or faxes. * Type forms, records, schedules, memos, etc., as directed. * Handles, screens and/or takes messages related to prior authorizations, provider questions, prescription refills, and test results. * Acts as "Super User" for scheduling, registration and billing systems. * Provides assistance and training to others in these areas. * May perform more complex or specialized functions (i.e. schedule changes/blocking) at more advanced competency level. Qualifications Education High School Diploma or Equivalent required Can this role accept experience in lieu of a degree? No Licenses and Credentials Certified Medical Administrative Assistant [CMAA] - Data Conversion - Various Issuers preferred Experience office experience 2-3 years required Knowledge, Skills and Abilities * Proficiency with all Office Suite, * Knowledge of office operations and standards and understanding of office procedures including filing, copying, scanning, printing and faxing. * Ability to use phone system and manage more non-routine phone calls and solve routine issues as appropriate. * Communicating effectively in writing as appropriate for the needs of the audience and talking to others to convey information effectively. * Understanding written sentences and paragraphs in work related documents, to correspond and communicate with others clearly and effectively (including composing/editing e-mail, memos and letters), and to take complete and accurate messages. * Managing one's own time and the time of others. * Well organized and good time management skills to manage multiple tasks effectively, follow established protocols, and work within systems. Additional Job Details (if applicable) Physical RequirementsStanding Occasionally (3-33%) Walking Occasionally (3-33%) Sitting Constantly (67-100%) Lifting Occasionally (3-33%) 20lbs - 35lbs Carrying Occasionally (3-33%) 20lbs - 35lbs Pushing Rarely (Less than 2%) Pulling Rarely (Less than 2%) Climbing Rarely (Less than 2%) Balancing Occasionally (3-33%) Stooping Occasionally (3-33%) Kneeling Rarely (Less than 2%) Crouching Rarely (Less than 2%) Crawling Rarely (Less than 2%) Reaching Occasionally (3-33%) Gross Manipulation (Handling) Constantly (67-100%) Fine Manipulation (Fingering) Frequently (34-66%) Feeling Constantly (67-100%) Foot Use Rarely (Less than 2%) Vision - Far Constantly (67-100%) Vision - Near Constantly (67-100%) Talking Constantly (67-100%) Hearing Constantly (67-100%) Remote Type Hybrid Work Location One Constitution Wharf Scheduled Weekly Hours 40 Employee Type Regular Work Shift Day (United States of America) Pay Range $17.36 - $24.45/Hourly Grade 3 At Mass General Brigham, we believe in recognizing and rewarding the unique value each team member brings to our organization. Our approach to determining base pay is comprehensive, and any offer extended will take into account your skills, relevant experience if applicable, education, certifications and other essential factors. The base pay information provided offers an estimate based on the minimum job qualifications; however, it does not encompass all elements contributing to your total compensation package. In addition to competitive base pay, we offer comprehensive benefits, career advancement opportunities, differentials, premiums and bonuses as applicable and recognition programs designed to celebrate your contributions and support your professional growth. We invite you to apply, and our Talent Acquisition team will provide an overview of your potential compensation and benefits package. EEO Statement: The General Hospital Corporation is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law. We will ensure that all individuals with a disability are provided a reasonable accommodation to participate in the job application or interview process, to perform essential job functions, and to receive other benefits and privileges of employment. To ensure reasonable accommodation for individuals protected by Section 503 of the Rehabilitation Act of 1973, the Vietnam Veteran's Readjustment Act of 1974, and Title I of the Americans with Disabilities Act of 1990, applicants who require accommodation in the job application process may contact Human Resources at **************. Mass General Brigham Competency Framework At Mass General Brigham, our competency framework defines what effective leadership "looks like" by specifying which behaviors are most critical for successful performance at each job level. The framework is comprised of ten competencies (half People-Focused, half Performance-Focused) and are defined by observable and measurable skills and behaviors that contribute to workplace effectiveness and career success. These competencies are used to evaluate performance, make hiring decisions, identify development needs, mobilize employees across our system, and establish a strong talent pipeline.
    $17.4-24.5 hourly Auto-Apply 16d ago
  • Remote Medical Billing Specialist FT/PT

    Cardinal Health 4.4company rating

    Remote authorization specialist job

    The Medical Billing Specialist is responsible for accurately coding fertility diagnostic ,treatment services and surgical procedures, submitting insurance claims, and managing the billing process for a fertility practice or healthcare facility. They ensure compliance with healthcare regulations and maximize revenue by optimizing reimbursement. General Summary of Duties: Responsible for gathering charge information, coding, entering into data base complete billing process and distributing billing information. Responsible for processing and filing insurance claims and assists patients in completing insurance forms. Essential Functions: o Prepare and submit insurance claims accurately and in a timely manner. o Verify patient insurance coverage and eligibility for fertility services( treatments and surgical procedures). o Review and address coding-related denials and discrepancies. o Researches all information needed to complete billing process including getting charge information from physicians. o Assists in the processing of insurance claims o Processes all insurance provider's correspondence, signature, and insurance forms. o Assists patients in completing all necessary forms, to include payment arrangements made with patients. Answers patient questions and concerns. o Keys charge information into entry program and produces billing. o Processes and distributes copies of billings according to clinic policies. o Records payments for entry into billing system. o Follows-up with insurance companies and ensures claims are paid/processed. o Resubmits insurance claims that have received no response or are not on file. o Works with other staff to follow-up on accounts until zero balance. o Assists error resolution. o Maintains required billing records, reports, files. o Research return mail. o Maintains strictest confidentiality. o Other duties as assigned o Identify opportunities to optimize revenue through accurate coding and billing practices. o Assist in developing strategies to increase reimbursement rates and reduce claim denials. Benefits: Offers nationally competitive compensation and benefits. Our benefits program provides a comprehensive array of services to our employees including, but not limited to health insurance (Primarily covered by the company), paid time off, retirement contributions (401k), & flexible spending account
    $34k-41k yearly est. 60d+ ago
  • Billing Clerk

    Ensign Services 4.0company rating

    Remote authorization specialist job

    BILLING CLERK About the Company LINK Support Services currently seeks to serve over 300 Skilled Nursing Facilities by offering Part B Ancillary Billing Services and assist in identifying lost revenue opportunities. These Skilled Nursing operations have no corporate headquarters or traditional management hierarchy. Instead, they operate independently with support from the “Service Center,” a world-class service team that provides centralized legal, human resource, training, accounting, IT and other resources necessary to allow on-site leaders and caregivers to focus on day-to-day care and business issues in their facilities and operations. Duties and Responsibilities: SNF AR experience required/Knowledge of Point Click Care (PCC) is a plus Identify and bill Part B billable ancillary items according to SNF consolidated billing guidelines. Provide and conduct education and support as needed with business office staff across multiple locations Communicate Part B billing best practices with peers and staff at assigned locations Communicate Revenue and Collectables to Facilities, Clusters, and Markets across multiple locations Assist with new software implementation as needed Collaborate with team in implementing billing Processes, Procedures and Softwares Organize and research complex data extractions to maximize billing opportunities organization wide Review and complete patient eligibility verifications Report KPIs, month over month trends, claim statuses, and onboarding/training schedules Knowledge, Skills and Abilities: 1+ year SNF experience with Medicare billing and eligibility recognition Point Click Care (PCC) experience necessary Able to prioritize and organize tasks at hand to meet specific deadlines Attention to detail and accuracy Proficient in Microsoft Word, Outlook and Excel, DDE. Knowledge of CPT Coding procedures Knowledge of SNF Per Diem inclusions Must have excellent written and verbal communication skills Able to work with a diverse group of people Ability to self-manage in a remote work environment Must be knowledgeable in Medicare and other state regulatory requirements What You'll Receive In Return As part of the Ensign Services family, you'll enjoy many perks including but not limited to excellent compensation, comprehensive benefits package, PTO, 401K matching, stock options, amazing company culture and not to mention- opportunities for professional growth and advancement. Compensation: $18-$20.00/hour dependent on experience and location Location: This is a remote eligible position that can work from any U.S state other than: Hawaii, New York, New Jersey, Rhode Island, Kentucky, Ohio, Massachusetts, North Dakota, Wyoming, Alaska, Pennsylvania, Pay is based on a number of factors including years of relevant experience, job-related knowledge, skills, and experience. Individuals employed in this position may also be eligible to earn bonuses. Ensign Services is a total compensation company. Dependent on the position offered, equity, and other forms of compensation may be provided as part of a total compensation package, in addition to a full range of medical, financial, and/or other benefits. For more information regarding our benefits offered, check out our ****************************. Ensign Services, Inc. is an Equal Opportunity Employer. Pre-employment criminal background screening required. Job ID: 1137
    $18-20 hourly Easy Apply 25d ago
  • E-Billing Specialist

    Frost Brown Todd LLP 4.8company rating

    Authorization specialist job in Columbus, OH

    Job Description Frost Brown Todd LLP, a national law firm with 1000+ legal and business professionals across eighteen offices, is currently searching for a full-time E-Billing Specialist to join our firm. This position will play a crucial role in managing the e-billing process, ensuring accurate and timely submission of invoices, and resolving any issues that arise. Key Responsibilities: Collaborate with billing assistants, attorneys, LPAs, and clients for e-billing setup, rate management and accrual submissions. Enforce client e-billing guidelines by proactively setting up rules and constraints within financial software used by the firm. Utilize FBT software solutions to address and correct rates and other e-billing issues before invoices reach the prebill stage. Work with FBT software solutions to create and submit e-billed invoices via BillBlast, or manually with Ledes files directly onto vendor e-billing sites. Collaborate with billing assistants to ensure successful resolution of all e-billing submissions. Track, report, and provide deduction reports to attorneys on all appeal items for assigned attorneys and or billing assistants and work through appeal submissions of same. Follow up promptly on rejected or pending e-bills to ensure timely resolution. Create and revise basic spreadsheet reports. Track all e-billing efforts in ARCS, exporting email communication and critical information on history of e-billing submissions through resolutions. Coordinate with the Rate Management Specialist to update rates for e-billed clients. Assist with e-billing email group and profile emails in e-billing software as needed. Assist with other special e-billing requests. Conduct daily review of Intapp forms to ensure proper setup in Aderant, including invoicing requirements, rates, special billing requirements, and approval processes. Qualifications: College degree or commensurate experience with high school diploma. 3+ years of billing experience. Legal billing experience strongly preferred. Interpersonal skills necessary to maintain effective relationships with attorneys and business professionals via telephone, email or in person to provide information with ordinary courtesy and tact. Must have attention to detail with an eye for accuracy. Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization. Knowledge of Aderant Software a plus. Proficiency in Microsoft Office products such as Word, Excel, Outlook. Frost Brown Todd offers a competitive salary and a comprehensive benefits package including medical (HSA with employer contribution or PPO options), dental, vision, life, short- and long-term disability, various parental leaves, well-being/EAP, sick and vacation time as well as a generous 401k retirement package (with matching and profit-sharing benefits). In compliance with federal law, all persons hired will be required to verify identity and eligibility to work in the United States and to complete the required employment eligibility verification form upon hire. Frost Brown Todd is fully committed to equality of opportunity in all aspects of employment. It is the policy of Frost Brown Todd to provide equal employment opportunity to all employees and applicants without regard to race, color, religion, national or ethnic origin, military status, veteran status, age, gender, gender identity or expression, sexual orientation, genetic information, physical or mental disability or any other protected status.
    $30k-35k yearly est. 13d ago
  • Health Insurance Verification Specialist (Remote-Wisconsin)

    Atos Medical, Inc. 3.5company rating

    Remote authorization specialist job

    Health Insurance Verification Specialist | Atos Medical-US | New Berlin, WI This position is remote but requires you to be commutable to New Berlin, WI for orientation and training/employee events as needed. Join a growing company with a strong purpose! Do you want to make a difference for people breathing, speaking and living with a neck stoma? At Atos Medical, our people are the strength and key to our on-going success. We create the best customer experience and thereby successful business through our 1200 skilled and engaged employees worldwide. About Atos Medical Atos Medical is a specialized medical device company and the clear market and technology leader for voice and pulmonary rehabilitation for cancer patients who have lost their voice box. We design, manufacture, and sell our entire core portfolio directly to leading institutions, health care professionals and patients. We believe everyone should have the right to speak, also after their cancer. That's why we are committed to giving a voice to people who breathe through a stoma, with design solutions and technologies built on decades of experience and a deep understanding of our users. Atos Medical has an immediate opening for a Health Insurance Verification Specialist in the Insurance Department. Summary The Health Insurance Verification Specialist will support Atos Medical's mission to provide a better quality of life for laryngectomy customers by assisting with the attainment of our products through the insurance verification process and reimbursement cycle. A successful Health Insurance Verification Specialist in our company uses client information and insurance management knowledge to perform insurance verifications, authorizations, pre-certifications, and negotiations. The Health Insurance Verification Specialist will analyze and offer advice to our customers regarding insurance matters to ensure a smooth order process workflow. They will also interact and advise our internal team members on schedules, decisions, and potential issues from the Insurance payers. Essential Functions Act as an advocate for our customers in relation to insurance benefit verification. Obtain and secure authorization, or pre-certifications required for patients to acquire Atos Medical products. Verifies the accuracy and completeness of patient account information. Ensures information obtained is complete and accurate, applying acquired knowledge of Medicare, Medicaid, and third party payer requirements/on-line eligibility systems. Contacts insurance carriers to obtain benefit coverage, policy limitations, authorization/notification, and pre-certifications for customers. Follows up with physician offices, customers and third-party payers to complete the pre-certification process. Requests medical documentation from providers not limited to nurse case reviewers and clinical staff to build on claims for medical necessity. Collaborates with internal departments to provide account status updates, coordinate the resolution of issues, and appeal denied authorizations. Answer incoming calls from insurance companies and customers and about the insurance verification process using appropriate customer service skills and in a professional, knowledgeable, and courteous manner. Educates customers, staff and providers regarding referral and authorization requirements, payer coverage, eligibility guidelines, documentation requirements, and insurance related changes or trends. Verifies that all products that require prior authorizations are complete. Updates customers and customer support team on status. Assists in coordinating peer to peer if required by insurance payer. Notifies patient accounts staff/patients of insurance coverage lapses, and self-pay patient status. May notify customer support team if authorization/certification is denied. Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Inquire about gap exception waiver from out of network insurance payers. Educate medical case reviewers at Insurance Companies about diagnosis and medical necessity of Atos Medical products. Obtaining single case agreements when requesting an initial authorization with out of network providers. This process may entail the negotiation of pricing and fees and will require knowledge of internal fee schedules, out of network benefits, and claims information. Complete all Insurance Escalation requests as assigned and within department guidelines for turn around time. Maintains reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Other duties as assigned by the management team. Basic Qualifications High School Diploma or G.E.D Experience in customer service in a health care related industry. Preferred Qualifications 2+ years of experience with medical insurance verification background Licenses/Certifications: Medical coding and billing certifications preferred Experience with following software preferred: Salesforce, SAP, Brightree, Adobe Acrobat Knowledge Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization and a list of current accepted insurance plans. Additional Benefits Flexible work schedules with summer hours Market-aligned pay 401k dollar-for-dollar matching up to 6% with immediate vesting Comprehensive benefit plan offers Flexible Spending Account (FSA) Health Savings Account (HSA) with employer contributions Life Insurance, Short-term and Long-term Disability Paid Paternity Leave Volunteer time off Employee Assistance Program Wellness Resources Training and Development Tuition Reimbursement Atos Medical, Inc. is an Equal Opportunity/Affirmative Action Employer. Our Affirmative Action Plan is available upon request at ************. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, veteran or disability status. Equal Opportunity Employer Veterans/Disabled. To request reasonable accommodation to participate in the job application, please contact ************. Founded in 1986, Atos Medical is the global leader in laryngectomy care as well as a leading developer and manufacturer of tracheostomy products. We are passionate about making life easier for people living with a neck stoma, and we achieve this by providing personalized care and innovative solutions through our brands Provox , Provox Life™ and Tracoe. We know that great customer experience involves more than first-rate product development, which is why clinical research and education of both professionals and patients are integral parts of our business. Our roots are Swedish but today we are a global organization made up of about 1400 dedicated employees and our products are distributed to more than 90 countries. As we continue to grow, we remain committed to our purpose of improving the lives of people living with a neck stoma. Since 2021, Atos Medical is the Voice and Respiratory Care division of Coloplast A/S 56326 #LI-AT
    $30k-35k yearly est. 60d+ ago

Learn more about authorization specialist jobs

Browse office and administrative jobs