Jr Insurance Verification Specialist
hace 12 horas
Job Summary:
You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.
This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.
As a Tri-Care analyst, you will review customer accounts and identify discrepancies between the expected cost of service and payer payment.
You will have an important role in determining the patient's insurance status and extent of insurance benefits, ensuring an efficient billing process for medical providers.
**Responsibilities**:
Duties will be performed by each individual depending on the assignment of responsibilities:
- Ensure government discrepancy analysis and processes are performed efficiently and effectively including:
- Monitoring and resolution of unpaid claims and month-end governmental reports.
- Governmental discrepancy analysis and resolution.
- Batch report corrections.
- Medicare Bad Debt management.
- Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement".
- Other duties as assigned.
Skills and Experience:
- English - Spanish Language (Oral and writing 85% or higher), (C1 or above).
- Must have a high school diploma or in progress to complete high school.
- At least 6 months in Customer Service positions.
- This job adjusts to the Eastern Time Zone and follows a US holiday schedule.
- Strong customer service skills
- Attention to detail
- Comfortable multitasking in a high volume/high demand environment
- Good presentation and a polite, tactful, and friendly character
About Auxis:
Auxis prioritizes employee growth and development to help you advance your career.
Auxis' culture empowers you to be your best in the interest of a common team goal.
We are constantly striving to improve our culture and environment and have invested in tools to continue to have better visualization of the pulse of our organization.
- Benefits_
- Health benefits including medical, vision, and dental.
- Transportation subsidy
- Asociacion Solidarista
- Training and development programs
- Employee recognition program
- Paid time off and family-paid leave
- Paid day off for your birthday
-
Jr Insurance Verification Agent
hace 17 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary: You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually. The Insurance Plan agent, will be working to ensure that...
-
Jr Insurance Verification Agent
hace 11 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.The Insurance Plan agent, will be working to ensure that...
-
Insurance Authorization Jr Agent
hace 13 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As an Insurance Plan Clerk, you will be working to ensure that...
-
Insurance Verification Team Lead
hace 6 días
Heredia, Costa Rica Auxis A tiempo completoJob Summary: The Insurance Verification Team Lead will provide professional business and customer service support, both individually and as part of a project team, with a focus on assisting Auxis customer service clients to ensure high levels of customer satisfaction and productivity. The Customer Service Lead will be the primary customer interface for...
-
Insurance Verification Specialist
hace 12 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.As a Tri-Care Clerk, you will review customer accounts and...
-
Jr .recruiting Specialist
hace 3 días
Heredia, Costa Rica Auxis A tiempo completoJob Summary: The Jr. Recruiting Specialist will provide support to the full range of the recruiting and selection cycle and functions. The Specialist will be responsible for sourcing, recruiting, and screening applicants for a variety of positions, including Customer Service, and back office process roles. The Specialist must be able to work in a fast-paced...
-
Customer Service Specialist Ii
hace 13 horas
Heredia, Costa Rica Abbvie A tiempo completo**Company Description****Responsibilities:- Investigate and problem solve for patients experiencing escalated issues such as disadvantaged or complex access, savings card/copay card challenges or non-preferred formulary issues.Where necessary, complete a benefit investigation, contact the HCP and/or patient or potentially the filling pharmacy or payor.-...
-
Asic Verification Engineer
hace 12 horas
Heredia, Costa Rica Hewlett Packard Enterprise A tiempo completoASIC verification EngineerThis role has been designated as 'Edge', which means you will primarily work outside of an HPE office.Aruba is redefining the "IT EDGE".Creating new customer experiences by building intelligent spaces and digital workspaces.We are focused on campus, branch, mobility and the IoT to transform business models with the combined power of...
-
Sr Mgr-Corp Insurance
hace 12 horas
Heredia, Costa Rica Moody'S A tiempo completoMoody's is a global integrated risk assessment firm that empowers organizations to make better decisions.**Functional Responsibilities**:- Review and analyze vendor contracts, identifying potential risks inherent in the proposed services.- Liaise with business divisions to understand services provided, business needs and risk mitigants.- Develop risk...
-
Loan Verification Specialist
hace 12 horas
Heredia, Costa Rica Bill Gosling Outsourcing A tiempo completo_Are you looking for a new exciting opportunity where you can sharpen and develop new skills?_We are looking to hire **Loan Verification Specialists** to join our team.This is an exciting opportunity to further enhance your call center and customer skills and work with a Global company with lots of career growth opportunities!Bill Gosling Outsourcing...
-
Jr. Insurance Authorization Agent
hace 12 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary: You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.In your role, you will be supporting patient inquiries,...
-
Jr Ar Review Specialist
hace 13 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:You will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services.This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.The AR Review Agent will be working to ensure that...
-
Noa Agent
hace 4 días
Heredia, Costa Rica Auxis A tiempo completoJob Summary: The NOA Agent is responsible for timely andaccurate processes associated with some or all of the following: - Pre-registration - Insurance verification - Pre-Certification - Insurance Notification **Responsibilities**: Responsabilities (included but not limited to):Responsabilities will be performed by each individual depending on assignment...
-
Jr Appeals Specialist
hace 12 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:***The Appeals Specialist is responsible for performing end to end tasks for technical appeals.**Responsibilities**:- Triage incoming inventory for the Appeals team, validating appeal criteria is met- Compose technical denial arguments for reconsideration, including both written and telephonically- Identify contract protection that can be...
-
Jr Appeals Specialist
hace 12 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:***The Appeals Specialist is responsible for performing end to end tasks for technical appeals.**Responsibilities**:- Triage incoming inventory for the Appeals team, validating appeal criteria is met- Compose technical denial arguments for reconsideration, including both written and telephonically- Identify contract protection that can be...
-
Solis Registration Agent
hace 12 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:The PTAC Central Unit Representative is responsible for timely andaccurate processes associated with some or all of the following:- Pre-registration- Insurance verification- Pre-Certification- Insurance Notification**Responsibilities**:Duties (included but not limited to):Duties will be performed by each individual depending on assignment of...
-
Solis Registration Clerk
hace 12 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:- The PTAC Central Unit Representative is responsible for timely andaccurate processes associated with some or all of the following:- Pre-registration- Insurance verification- Pre-Certification- Insurance Notification**Responsibilities**:Duties will be performed by each individual depending on assignment of responsibilities:- Perform...
-
Customer Service Agent
hace 7 días
Heredia, Costa Rica GRUPO STT A tiempo completoResponsible for timely and accurate processes associated with some or all the following:Pre-registrationInsurance verificationPre-CertificationInsurance Notification Responsibilities: Duties will be performed by each individual depending on the assignment of responsibilities:Perform pre-registration and insurance verification within 3-5 days prior to the...
-
Pre-Bill Denial Unworked Pdu
hace 13 horas
Heredia, Costa Rica Auxis A tiempo completoJob Summary:The Jr Health Care Specialist will review post-discharge, prebill accounts that do not have authorization on file, ALOS versus days authorized variances, and/or other account discrepancies identified that will result in the account being denied by the payor that does not require a clinical review.Communicates with third-party payors to resolve...
-
Credit & Collections Customer Care Specialist
hace 18 horas
Heredia, Costa Rica Sysco Costa Rica A tiempo completoThe Credit & Collections Customer Care Specialist is responsible for receiving and responding to inbound call inquiries from Sysco Customers, Sales Representatives and other customer representatives.Specialists are responsible to answer customer inquiries and/or resolve issues.When necessary escalate tasks to the relevant party.The specialist needs to be...