Medical Insurance Operations Specialist
hace 1 día
**About Auxis:**
Auxis is a global provider of business process outsourcing solutions, dedicated to helping companies optimize their operations and improve performance.
**Salary Range:** $45,000 - $60,000 per annum, depending on experience and qualifications.
Job Description:
The Medical Insurance Operations Specialist will play a critical role in ensuring the timely and accurate update of insurance policies in our databases. This position requires excellent communication skills, attention to detail, and the ability to work effectively in a fast-paced environment.
Responsibilities:
- Review patient accounts for accuracy prior to placement with outside collection vendors
- Receive account change requests and review required changes
- Update insurance plan changes on customer accounts
- Research and respond to vendor inquiries
- Review correspondence in the CWF system and take appropriate action
- Authorize affidavits related to patient billing as applicable
- Ensure vendor inventories reconcile to SSC systems by completing recons and updating I-Plans and placements as needed
- Assist with Medicaid Eligibility vendor reconciliation as requested
- Manage onboarding and termination processes for vendors
- Provide support during vendor transitions: Medicaid Eligibility, Early Out, Primary and Secondary agencies
- Respond to requests including research payments, contractual approvals, audits, etc.
Requirements:
- English - Spanish Language (Oral and writing 85% or higher), (B2+ or above)
- High school diploma required; at least 1 year of experience in Customer Service or Backoffice positions preferred
- Excellent communication skills and involvement
- Ability to work effectively in a fast-paced environment
- Presentation and a polite, tactful, and friendly character
- Healthcare experience is a plus
What We Offer:
- A competitive salary range
- A dynamic and supportive work environment
- Opportunities for professional growth and development
-
Medical Insurance Specialist
hace 3 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**Job Summary:**Auxis is seeking a detail-oriented Medical Insurance Specialist to join our team. In this role, you will be responsible for pre-registration and insurance verification processes associated with patient care.**Key Responsibilities:**Perform pre-registration and insurance verification within 3-5 days prior to date of service for inpatient and...
-
Insurance Operations Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Experian A tiempo completoAbout the RoleWe are seeking a highly skilled and detail-oriented individual to join our team as an Insurance Operations Specialist.
-
Medical Billing and Insurance Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis is a fast-growing business process outsourcing provider offering exceptional opportunities for career growth and development. We are seeking an experienced Medical Billing and Insurance Specialist to provide support to our largest account, a leading healthcare services provider.As a Medical Billing and Insurance Specialist, you will play a vital role...
-
Insurance Support Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Abbvie A tiempo completoOverviewAbsorb the opportunity to excel in a dynamic role at AbbVie, a world-renowned leader in innovative healthcare solutions.About UsWe are driven by our passion for improving lives through groundbreaking medical advancements. As a key member of our team, you will play a pivotal role in delivering exceptional patient experiences.Job DescriptionThe...
-
Insurance Operations Team Manager
hace 1 día
San Francisco, Heredia, Costa Rica Abbvie A tiempo completoAbout the RoleWe are seeking an experienced Insurance Operations Team Manager to join our Abbvie team in a challenging and rewarding role. This position will oversee and direct a team of insurance analysts, ensuring seamless customer experiences for patients and physicians.Job SummaryThis is a dynamic opportunity to lead and manage a high-performing team...
-
Insurance Operations Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Experian A tiempo completoJob Overview: At Experian, we're redefining the insurance broker model with technology and human interaction. Our mission is to make finding the best home and auto insurance easy, straightforward, and transparent.
-
Sterilization Validation Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Viant Medical A tiempo completoAbout the RoleWe are seeking a highly skilled Sterilization Validation Specialist to join our team at Viant Medical. As a key member of our quality team, you will play a crucial role in ensuring the sterilization processes of our medical devices meet the highest standards.ResponsibilitiesDevelop and execute validation protocols for sterilization processes,...
-
Quality Assurance Specialist
hace 7 días
San Francisco, Heredia, Costa Rica Viant Medical A tiempo completoJob DescriptionWe are seeking a highly motivated Quality Assurance Specialist to join our team at Viant Medical. In this role, you will assist engineers in projects related activities such as document preparation, component specification, and Test Method Validation protocols drafting and execution.The ideal candidate will have 1 year of experience in a...
-
Medical Claims Resolution Specialist
hace 3 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob SummaryThe Medical Claims Resolution Specialist will be responsible for reviewing prebill accounts that do not have an authorization on file, identifying discrepancies and communicating with third-party payors to resolve issues prior to billing. The specialist will accurately document all communications and actions taken on the account in accordance with...
-
Medical Claims Verification Specialist
hace 6 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis is a fast-growing business process outsourcing provider that supports leading healthcare services companies. As a Medical Claims Verification Specialist, you will play a critical role in ensuring the accuracy and timeliness of insurance policy updates in various databases.**Key Responsibilities:**Review patient accounts for accuracy prior to sending...
-
Insurance Policy Quote Specialist
hace 4 días
San Francisco, Heredia, Costa Rica Experian A tiempo completoCompany OverviewExperian is the world's leading global information services company, empowering consumers and clients to manage data with confidence. Our team works tirelessly to make smarter decisions, prevent identity fraud, and create a better tomorrow. Job SummaryWe are seeking an Insurance Policy Quote Specialist to join our Experian Consumer Services...
-
Insurance Claims Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**Company Overview**Auxis is a fast-growing business process outsourcing provider that offers support to one of its largest accounts and a leading provider of healthcare services. This provider serves numerous hospitals and physician practices, resulting in over 50 million patient encounters annually.**Job Summary**As an Insurance Plan Clerk, you will play a...
-
Healthcare Insurance Coordinator Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob OverviewThe Healthcare Insurance Coordinator Specialist plays a vital role in ensuring timely and accurate processing of insurance-related tasks. As a key member of the Auxis team, you will be responsible for managing the entire lifecycle of patient services, from pre-registration to post-service follow-up.Responsibilities:Perform pre-registration and...
-
Strategic Procurement Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Viant Medical A tiempo completoAbout Viant MedicalViant Medical is a dynamic and innovative company seeking an experienced Strategic Procurement Specialist to join our team. The ideal candidate will possess strong procurement skills, excellent communication abilities, and a deep understanding of supply chain management.SalaryThe estimated salary for this role is $85,000 - $110,000 per...
-
Data Quality Operations Specialist
hace 7 días
San Francisco, Heredia, Costa Rica Citi A tiempo completoCiti is seeking a highly skilled Data Quality Operations Specialist to join our team. As a key member of our data quality operations team, you will be responsible for performing advanced and diverse financial, statistical, and operational studies to substantiate business decisions using analytical skills and knowledge of data analysis tools and...
-
Medical Reimbursement Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob OverviewAuxis is seeking a highly skilled Medical Reimbursement Specialist to join our team in the Eastern Time Zone. As an appeals underpayment collector, you will be responsible for monitoring claims processes to ensure timely reimbursement to healthcare providers.The ideal candidate will have a strong understanding of customer service principles and...
-
Operations Support Specialist
hace 7 días
San Francisco, Heredia, Costa Rica Citi A tiempo completo**Overview:**Citi is a leading global bank, and we are seeking a highly skilled Operations Support Specialist to join our team. As an Operations Support Specialist, you will play a critical role in ensuring the smooth operation of our financial systems.**Job Description:**In this role, you will be responsible for providing timely and accurate support to our...
-
Medical Claims Resolution Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob DescriptionThe Medical Claims Resolution Specialist will be responsible for reviewing post-discharge prebill accounts without authorization, ALOS versus authorized days variances, and other discrepancies that may result in account denial by the payor.They will communicate with third-party payors to resolve discrepancies prior to billing, accurately...
-
Chief Operations Planner
hace 5 horas
San Francisco, Heredia, Costa Rica Viant Medical A tiempo completoJob OverviewAt Viant Medical, we are seeking a highly experienced Chief Operations Planner to join our team. As a key member of our operations department, you will play a critical role in ensuring the smooth execution of our manufacturing processes.
-
San Francisco, Heredia, Costa Rica Viant Medical A tiempo completoAbout the RoleWe are seeking a highly motivated and experienced Senior Environmental Health and Safety Specialist to join our team at Viant Medical. In this role, you will be responsible for providing leadership and guidance on environmental health and safety matters, ensuring compliance with regulatory requirements, and promoting a culture of safety within...