Eligibility/Authorization Specialist - Remote Orbit Billing Solutions, LLC Fayetteville, NC Job Details Full-time $25,000 - $32,000 a year 2 hours ago Benefits Health insurance Dental insurance Paid time off Vision insurance Life insurance Qualifications Customer communication Patient scheduling systems Health insurance co-pays Overseeing health insurance pre-certification Insurance verification Electronic health records (EHR) management Medical scheduling

ICD-9 ICD-10

Healthcare referral management Medical records Medical billing Patient interaction Health insurance referral requirements Typing Patient education Medical terminology Full Job Description Orbit Billing is looking for a Behavioral/Medical Health and Eligibility and Authorization specialist. Knowledge/Expertise required for eligibility and authorization specialist: The Authorization Specialist prints and reviews the appointment scheduler in advance to ensure proper obtaining of authorizations, pre-certifications and referrals prior to services being rendered for patients as required by the different insurance plans/carriers. No later than one (1) day prior, reprint and review the following day appointment scheduler again for any add-ons or changes in the schedule and the additional need for obtaining authorizations, and pre-certifications. Contact the insurance plans/carriers or primary care providers via telephone or online to obtain authorizations, pre-certifications and referrals as necessary. Verify patient's insurance coverage and benefits as to co-pays, co-insurance and deductibles. Opens the patient's appointment in the scheduler; then, enter authorization / pre-certification / referral obtained status and then under the insurance tab, enter the actual number, number of visits and expiration date. Explains to patients in advance of deductibles, co-pays, self-pay services and services that may be denied by their insurance carrier. Maintain a professional appearance and demeanor at all times. Comply with all company policies and procedures. Adhere to assigned work schedule and lunch break.

Qualifications:

Comfortable with referral and insurance verification with at least 1 year of experience. Knowledge of medical terminology, ICD-9, & 10 and CPT Coding as well as office procedures required. Average typing skills, experience in Computer programs (Excel, Word) and Electronic Medical Records. Knowledge of insurance carriers and their rules and regulations related to authorizations, pre-certifications and referrals. Excellent communication skills. Communicates effectively with patients and other appropriate parties. Ability to establish and maintain effective working relationships and work as a member of a team. Ability to understand and follow both oral and written instructions

Job Type:

Full-time Experience:

Authorization:

2 year (Required)

Eligibility and Referral:

3 year (Required)

Job Type:

Full-time Pay:

$25,000.00 - $32,000.00 per year

Benefits:

Dental insurance Health insurance Life insurance Paid time off Vision insurance

Experience:

Insurance verification: 1 year (Preferred) Medical billing: 1 year (Preferred)

Work Location:

Hybrid remote in Fayetteville, NC 28303