Insurance Verification & Authorization Specialist

Job Title PRIMARY RESPONSIBILITIES:Provide patient balance estimates, collect patient payments and verify insurance coverage and benefits for all payers, including Medicare, Medicaid, and commercial insurancesAnswer and respond to telephone, voicemail, email, and faxed inquiries from internal and external customers, which include clients, patients, and insurance carriers, while providing exceptional customer serviceExplain insurance coverage and benefits to patients, as necessaryContact patients and external customers regarding inactive insurance coverage to obtain updated insurance information or obtain referralsInitiate, submit and obtain prior authorizationsPossess current knowledge of insurance carrier guidelines, clinical policies, and state guidelines pertaining to referrals and prior authorizationProcess, sort, and direct incoming and outgoing mail to the appropriate teams and departmentsMaintain patient accounts by appropriately notating, updating, and collecting patient demographic, and insurance informationRequest medical records and other patient/provider information, when appropriateProcesses credit card transactions received from patients and insurance carriersHandle patient financial hardship applications and reviews requests for account adjustmentsSupply management team with immediate feedback on issues affecting workflow, reimbursement, and customer service as well as identifies and escalates opportunities for process improvement to management teamIdentify insurance contract opportunities/requirements and communicates to the Payor Relations departmentAdhere to appropriate quality control, confidentiality, and HIPAA guidelinesAttend staff meetings and report on monthly performance and activitiesQUALIFICATIONS, SKILLS & COMPETENCIES:Bachelor's degree, preferred3 + years in customer service, insurance verification, authorization and insurance billing requiredPrevious experience with medical claims processing, insurance verification, authorization, medical records and insurance terminology, requiredCompetent with Windows PC Applications, including Microsoft Word and Microsoft Excel. Strong keyboard and navigation skills and ability to learn new computer skills & applicationsEquipped to handle multiple tasks, accurately process high volumes of work, prioritize work and manage time effectively to meet deadlinesCapable of making decisions and solving problems using established departmental standard operating procedures and guidelines with limited supervisionDemonstrated effective and appropriate communication styles and interpersonal skills that promote positive and professional working relationships with peers and management teamMust be well organized, focused, and detail orientedAbility to assist with and adapt to departmental and / or company procedural changesAs this is a hybrid position, must be able to commute to headquarters in Mount Laurel, NJAble to work a 40-hour schedule within the operating hours of the department, 8:30 AM to 9:30 AM start time and ending 5:00 PM to 6:30 PMIt may be necessary, based on business and departmental need, to work occasional overtime and/or weekends.Telecommute work possible, subject to business environmental conditionsBENEFITS:Competitive salary and bonus structureHealth, dental and vision insurance as well as other ancillary benefitsRetirement savings plan 401(k) with company matchPaid time off (PTO) and holidaysProfessional development and training opportunitiesEmployee wellness programsEEO STATEMENT:RMX Monitoring, LLC. is an equal opportunity employer who openly supports and fully commits to recruitment, selection, promotion, and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state, and/or local laws. Inclusion and diversity amongst our teams is essential to our success.