Medical Insurance Operations Specialist

hace 1 día


San Francisco, Heredia, Costa Rica Auxis A tiempo completo

**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


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