Healthcare CSR (Billing) - Remote - Up to 35K

We are looking for CSRs for a client in the Healthcare Industry. This role is on a REMOTE setup and follows a Night Shift Schedule. Salary pays up to 35K Package Minimum requirement of at least 3 years of Healthcare experience in a BPO setup Essential Duties and Responsibilities: Processes opportunities, such as verifying benefits, requesting authorization, & following up on auth-requests. Completes data fields within the system with insurance information needed for claim submission, start & end dates of authorization, and others Prepares correspondence to insurance companies, Health Care Professionals (HCPs) & other affiliates on behalf of patients, such as authorization requests, appeals & letters of agreement Clearly documents all correspondence in the company databases. Troubleshoots and seeks solutions to problems related to questions and concerns over authorization and claims. When other team members are absent or not available, provides backup coverage for their territories/insurance/state. Support education of team members on insurance verification, authorization, and claims Analyze and investigate denied claims and find ways/resolution for payment. Do outbound calls to different insurance companies to confirm information, submit/validate an authorization or claim submission/denials. Identify denial patterns and escalate to management as appropriate with sufficient information for additional follow-up and/or root cause resolution. Assumes and performs other duties as assigned. Required Qualifications: STRONG US HEALTHCARE COMPREHENSION Must understand the intricacies of medical and pharmacy insurance coverage. Must know and understand the difference between HMO, PPO, EPO, Indemnity, POS, Home Plans and Host Plans and be able to clearly communicate that to a patient and or another caregiver or medical professional. Must understand different denial reasons and claim status. Must understand CPT/HCPC codes, ICD 10, claim forms. Ability to learn and retain the specific criteria and requirements for different insurance plan STRONG COMPUTER AND PHONE SKILLS Must be able to create Word documents, work in Excel, use templates, use the internet, Outlook and work in a company created database Must be pleasant and knowledgeable when speaking with insurance company representatives Preferred Qualifications: 3 years of US HEALTHCARE experience Authorization and billing experience or insurance collections preferred. Proven knowledge of and experience with...

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