Responsibilities
- Efficiently handle authorization and billing-related tasks to ensure timely processing.
- Receive and resolve inquiries from patients and insurance providers with professionalism and accuracy.
- Conduct calls to insurance providers to obtain necessary information and follow up on authorization requests.
- Deliver exemplary customer service by addressing and resolving issues promptly, particularly when interacting with Workers’ Compensation Adjusters and Insurance Representatives.
- Work collaboratively with Workers’ Compensation Adjusters to negotiate pricing and ensure fair compensation for services.
- Complete and submit all necessary authorization forms accurately and in a timely manner.
- Utilize the Brightree system for tracking and managing authorization requests.
- Develop expertise in relevant data systems to facilitate efficient research and data retrieval.
- Uphold confidentiality and ensure compliance with all legal and regulatory requirements, including HIPAA.
- Complete all assigned training within specified timeframes to stay current with policies and procedures.
Qualifications
- Ability to multitask effectively while managing various scenarios and researching patient records.
- Meticulous attention to detail is required to ensure accuracy in processing requests and documentation.
- Has a friendly and outgoing demeanor with strong organizational skills and proficiency in general office tasks.
- Clear and coherent in both verbal and written communication skills, with the ability to convey complex information clearly and professionally.
- Strong problem-solving abilities, with the capacity to interpret information accurately and respond promptly to issues.
- Willingness to take on additional responsibilities as needed within and across departments.
Screening Criteria
- Minimum of one (1) year of customer service experience.
- Must have a stable employment history.
