Insurance Specialist

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Remote work is not an option. Must be able to work in our Northbrook, IL office Monday-Friday.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going education of changes in authorization requirements
...

About IHTC

At the Indiana Hemophilia & Thrombosis Center (IHTC), we offer a future where people with rare blood disorders flourish. Our experts provide the highest quality comprehensive services and holistic care to patients with bleeding, clotting and other hematologic disorders, and to their families.

What You Will Do

As an Insurance Verification Specialist (IVS), you serve as the primary role responsible for loading and verifying patient insurances.

The Opportunity

• Conduct eligibility and verification of benefits for all scheduled patients prior to appointments utilizing Athena, portals and phone calls.
• Route a patient case to the Insurance Coordinator team when referrals are needed based upon eligibility and third-party guidance provided in findings.
• Establish and utilize portals for verification and policy details.
• Maintain eligibility and verification 3 days...

A partner organization is seeking a Commercial Product Specialist III, Self-Insured in Minnetonka, MN. This role is responsible for collaborating with the Commercial Product team and internal departments on the development and deployment of new and existing Self-funded/Self-Insured (SI) and Administrative Services Only (ASO) products. The position involves product analysis, implementation activities, researching product/program challenges, and identifying trends for improvements that inform a 3-5 year roadmap.

Responsibilities

• Review and support change and customization requests related to product design.
• Partner with Underwriting, Actuary, Legal, and Regulatory teams in the product management lifecycle.
• Develop training materials for brokers and sales teams for product portfolios.
• Update and maintain product grids for Self-funded/Self-Insured products.
• Engage and communicate effectively with...

Our partner is seeking a Commercial Product Specialist III, Large Group Fully Insured, based in Minnetonka, MN. This role involves collaborating with various internal departments on the development and deployment of Large Group Fully Insured products, performing product analysis, and supporting product performance improvements.

Responsibilities

• Review and manage requests for changes and customizations related to product design
• Partner with Underwriting, Actuary, Legal, and Regulatory teams during the product management lifecycle
• Develop training materials for brokers and sales teams
• Update and maintain product grids for Large Group Fully Insured products
• Communicate effectively with cross-functional partners, including Regulatory, Legal, Sales, Product, and Marketing teams
• Contribute to product performance and growth goals

Requirements

...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as...

The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is on in office position!

Responsibilities

• Ensures claims are processed accurately to secure timely payment.

• Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.

• Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.

• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties....

The Remote Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is on in office position!

Responsibilities

• Ensures claims are processed accurately to secure timely payment.

• Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.

• Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.

• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively participates in problem identification and resolution and coordinates resolutions between appropriate parties....

AssistRx has engineered the perfect blend of technology and talent to deliver best in class results. We believe that access to therapy transforms lives and is achieved through the powerful combination of our people and technology. We leverage advanced custom software, data analytics, and a patient-centered approach to transform medication management into a seamless and efficient process.

***VOTED one of Orlando's BEST PLACES TO WORK two years in a row***

****WORK FROM HOME AVAILABLE AFTER 120 DAYS****

Job Details Snapshot

• Compensation: $19-$22/hr
• Location(s): 4500 W 107th St, Overland Park, KS 66207
• Start Date: 11/11/2024
• Work from home: The opportunity to work from home will be made available after 120 days upon goals and quotas being met at the...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

Come join VisitorsCoverage, one of Silicon Valley's most successful InsurTech companies, certified as a Great Place to Work®! We are looking for a full-time employee to join our growing customer service team.

What We Do:

VisitorsCoverage is an Insurtech company, located in the heart of Silicon Valley, revolutionizing the way travelers search, compare, purchase, and manage their travel insurance. Imagine a place where buying travel insurance is as easy as ordering an item from your favorite online retailer. You know exactly what the benefits are and what each word on the coverage document means, and you are able to zip through the checkout process. We are obsessed with simplifying Travel Insurance! We wake up everyday thinking of new ways to meet the same expectations that users have from their online retailers and delivery or streaming services. We are a team of people who counter the thought that insurance is boring and love the challenge of delighting...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

*From $22-28 per hour DOE*

This position will be moving to our newest Northgate headquarters by the end 2024!

Have you been looking for a role that challenges you and gives you applicable skills to use in your career? Are you looking to work in a fast-paced, supportive environment? You’ve come to the right place!

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists, and nurse practitioners to dive into private practice, without doing all the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011, we have partnered with over 1,500 providers throughout our 12 locations, and we are continuing to grow!

We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed, both personally and...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

*From $20-25 per hour DOE*

Have you been looking for a role that challenges you and gives you applicable skills to use in your career? Are you looking to work in a fast-paced, supportive environment? You’ve come to the right place!

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists, and nurse practitioners to dive into private practice, without doing all the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011, we have partnered with over 1,200 providers throughout our 11 locations, and we are continuing to grow!

We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed, both personally and professionally.

About the role:

The Insurance Follow-Up Specialist is responsible for reviewing rejected...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

USA Clinics Group is looking for an organized and motivated individual to join the team as our newest Insurance Verification/ Prior Authorization Specialist! This position performs the function of obtaining referrals, and/or authorizations prior to the service date for test, procedures, and admissions into the clinics.

Only candidates able to commute to the jobs on-site location (Northbrook, IL) Monday through Friday 5 days a week will be considered. Remote work is not an option.

• Reviews referring physician and patient documentation for Medical Necessity against insurance protocol requirements for pre-certification purposes.
• Actively communicates with staff regarding status of authorization. Communicates the need for reschedule and/or cancellation if authorization not in-hand).
• Directs liaison to offices and patients regarding new, changed, or pending insurance authorizations, as well as on-going...

Company Overview

Join SALT Dental Partners and be part of a dynamic team dedicated to revolutionizing the dental industry through innovative marketing strategies and exceptional patient experiences. Since our doors opened in 2019, we made it our mission to help dentists grow their businesses. SALT is creating a vast network of like-minded dentists throughout the country.  At SALT we provide all of the support services, so dentists can get back to being a dentist.

Position Summary

The Insurance Credentialing Specialist is responsible for quick and efficient credentialing/payor enrollment and recredentialing of our dental providers. They ensure full completion and accuracy of all incoming provider applications. Constantly collect and process verification and accreditation information and must constantly maintain and update accurate files for licensed professionals. This includes education, training, experience, and licensure....

Come join VisitorsCoverage, one of Silicon Valley's most successful InsurTech companies, certified as a Great Place to Work®! We are looking for a full-time employee to join our growing customer service team.

What We Do:

VisitorsCoverage is an Insurtech company, located in the heart of Silicon Valley, revolutionizing the way travelers search, compare, purchase, and manage their travel insurance. Imagine a place where buying travel insurance is as easy as ordering an item from your favorite online retailer. You know exactly what the benefits are and what each word on the coverage document means, and you are able to zip through the checkout process. We are obsessed with simplifying Travel Insurance! We wake up everyday thinking of new ways to meet the same expectations that users have from their online retailers and delivery or streaming services. We are a team of people who counter the thought that insurance is boring and love the challenge of delighting...

*From $22-28 per hour DOE*

This position will be moving to our newest Northgate office in the Fall of 2024!

Have you been looking for a role that challenges you and gives you applicable skills to use in your career? Are you looking to work in a fast-paced, supportive environment? You’ve come to the right place!

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists, and nurse practitioners to dive into private practice, without doing all the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011, we have partnered with over 1,500 providers throughout our 12 locations, and we are continuing to grow!

We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed, both personally and...

Welcome to GlobalGreen Insurance Agency®, a leading provider of comprehensive insurance solutions. We are currently seeking a detail-oriented and motivated Insurance Billing Specialist to join our team. As an Insurance Billing Specialist, you will play a critical role in ensuring accurate and timely billing processes, while providing exceptional customer service to our clients. If you have a strong attention to detail, excellent communication skills, and a passion for providing top-notch service, we would love to hear from you.

Responsibilities

• Process and reconcile insurance claims and invoices
• Verify accuracy of billing information and resolve any discrepancies or errors
• Collaborate with insurance carriers and clients to resolve billing inquiries and issues
• Prepare and submit insurance claims according to established procedures
• Maintain accurate records of billing activities and financial transactions
• Assist...

GP Construction Group is seeking motivated Insurance Roofing Sales Specialists to help homeowners with insurance-covered roofing projects. No prior experience is necessary thanks to our comprehensive training program!

Requirements

• Excellent communication and customer service skills.
• Valid driver’s license and reliable transportation.
• Residency in the DFW area and the ability to pass a background check.

Key Responsibilities:

• Engage in door-to-door sales in storm-affected neighborhoods.
• Conduct thorough roof inspections.
• Explain the insurance process and assist homeowners in navigating their claims.
• Oversee projects from inspection through to completion.

Benefits

• $40K base + 20% commission, with top reps making $300K+
• Full benefits package (medical, dental, vision)
• Unlimited...

*From $22-28 per hour DOE*

This position will be moving to our newest Northgate office in the Fall of 2024!

Have you been looking for a role that challenges you and gives you applicable skills to use in your career? Are you looking to work in a fast-paced, supportive environment? You’ve come to the right place!

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists, and nurse practitioners to dive into private practice, without doing all the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011, we have partnered with over 1,200 providers throughout our 11 locations, and we are continuing to grow!

We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed, both personally and...

*From $20-25 per hour DOE*

Have you been looking for a role that challenges you and gives you applicable skills to use in your career? Are you looking to work in a fast-paced, supportive environment? You’ve come to the right place!

Mindful Therapy Group is a company dedicated to empowering therapists, psychologists, and nurse practitioners to dive into private practice, without doing all the leg work that comes with it. We provide high-quality billing, marketing, and administrative services to independent mental health care providers across the Pacific Northwest. Since opening in 2011, we have partnered with over 1,200 providers throughout our 11 locations, and we are continuing to grow!

We cultivate a collaborative, transparent and energetic culture and the necessary tools and support for you to succeed, both personally and professionally.

About the role:

The Insurance Follow-Up Specialist is responsible for reviewing rejected...

Riccobene Associates Family Dentistry is looking for a full-time Outstanding Insurance Specialist! (This position is remote.)

The Outstanding Insurance Specialist is a critical role responsible for effectively and efficiently managing the accounts receivable process for an assigned group of payors or supported region/company. This is an in office position!

Responsibilities

• Ensures claims are processed accurately to secure timely payment.

• Responds to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner.

• Conducts follow-up and submits reimbursement appeals for unpaid and/or inappropriately paid claims; ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts.

• Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims; actively...

Phoenix Home Care & Hospice is adding an Insurance and Authorization specialist to our Springfield, Mo team!

We're looking for a hard working, dynamic and fun individual to join our team. If you have an eye for detail, strong work ethic and are looking for an amazing office culture then Phoenix would love for you to interview us and see if we are a good fit for your career home!

We believe in you & want to help you succeed! 

At Phoenix Home Care & Hospice, we care for people of all ages, diagnoses, & levels of care and every position in this company plays an important role in that process. We love to watch you grow personally and professionally!

The specialist will work closely with the Healthcare Billing and Operation...

Phoenix Home Care & Hospice is adding an Insurance and Authorization specialist to our Springfield, Mo team!

We're looking for a hard working, dynamic and fun individual to join our team. If you have an eye for detail, strong work ethic and are looking for an amazing office culture then Phoenix would love for you to interview us and see if we are a good fit for your career home!

We believe in you & want to help you succeed! 

At Phoenix Home Care & Hospice, we care for people of all ages, diagnoses, & levels of care and every position in this company plays an important role in that process. We love to watch you grow personally and professionally!

The specialist will work closely with the Healthcare Billing and Operation...

Introduction:

We are a leading, national consulting firm that provides compassionate, full-spectrum emergency management services including planning and preparedness, response, recovery, and mitigation services to the public and private sectors before, during and after a natural disaster or catastrophic event.

Our mission is to provide compassionate consulting services to local, state, federal, and industry clients, active in disaster response, recovery, and preparedness. We will be on time, on target, and on budget with the services aligned to the evolving threats and hazards facing our nation.

The position will be guided by ACDC’s Corporate Values Platform in all activities.

These positions are expected to be onsite in Santa Fe, NM for one (1) year, with a target deployment if May - June 2024 estimated.

Position Summary:

• Job Title: EM Insurance Specialist(s)
• ...