Healthcare Support Professional

hace 2 días


San Francisco, Heredia, Costa Rica Auxis A tiempo completo
About Auxis

Auxis is a fast-growing business process outsourcing provider, partnering with leading healthcare services companies to deliver exceptional support. With 959 hospitals and 2979 physician practices under its belt, Auxis serves over 50 million patients annually.

Job Summary

You will be working as a Prebill Denials Analyst, providing crucial support to one of our largest accounts. Your role involves reviewing post-discharge prebill accounts without authorization on file, ALOS versus days authorized variances, and other discrepancies that may result in denial by payors not requiring clinical review.

Key Responsibilities:
  • Work prebill accounts imported into the PDU Tool efficiently and effectively on a daily basis to resolve accounts with "no auth numbers" and ALOS vs. authorized days variances
  • Resolve outstanding issues assigned through eRequest
  • Report insurance denial trends identified during daily operational assignments
  • Identify problem accounts and escalate as necessary
  • Document actions taken on the account clearly and concisely
  • Contact facilities, physicians' offices, and/or insurance companies to resolve denials/appeals
  • Adhere to time and attendance policies
  • Comply with all policies and procedures, including phone and internet usage, break utilization, etc.
  • Participate in ongoing education and training as needed
  • Establish and maintain relationships with customers
Required Skills and Qualifications

To excel in this role, you should possess:

  • English-Spanish Language proficiency (oral and written, 85% or higher), C1 or above
  • A high school diploma or equivalent in progress
  • At least 1 year of experience in customer service positions
  • Strong customer service skills
  • Excellent communication skills
  • Ability to work independently and collaboratively
  • Attention to detail
  • Comfortable multitasking in a high-volume/high-demand environment
  • Good presentation and a polite, tactful, and friendly character
Benefits

Auxis prioritizes employee growth and development, offering a range of benefits to support your career advancement:

  • Health benefits, including medical, vision, and dental coverage
  • Transportation subsidy
  • Asociacion Solidarista
  • Training and development programs
  • Employee recognition program
  • Paid time off and family paid leave
  • Paid day off for your birthday


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