- Two or more years of related experience in a healthcare industry, preferably intake/patient access experience.
- Experience with infusion\injectable medication prior authorizations
- Must be able to communicate effectively, both orally and in writing.
- Must demonstrate an understanding of reimbursement practices including government program regulation and managed care contracting
- Experience working in, and managing changing priorities, in a high volume, fast-paced work environment.
- Excellent personal computing skills and a working knowledge of MS Office software
- Maintains clear communication with customers regarding mutual expectations. Takes personal responsibility and accountability for correcting customer-service problems.
- Ability to work well as part of a collaborative team as well as independently.
- EPIC EMR Experience highly preferred
salary: $20 - $24.5 per hour
shift: First
work hours: 8 AM - 6 PM
education: High School
Responsibilities
- Manage work queue to department standards for productivity and quality.
- Verifies insurance benefits for new patient referrals.
- Re-verifies insurance benefits for existing patients.
- Accurately evaluates charge and reimbursement estimates for infusion therapies.
- Reviews all medical documentation against medical policy and initiates/obtains pre-determination, pre-certification, and authorizations as needed.
- Follow-up on pending pre-certifications and/or pre-determinations until outcome decided.
- Updates and maintains insurance and authorization information in billing software.
- Obtains PCP referrals as needed.
Skills
Qualifications
Randstad is a world leader in matching great people with great companies. Our experienced agents will listen carefully to your employment needs and then work diligently to match your skills and qualifications to the right job and company. Whether you're looking for temporary, temporary-to-permanent or permanent opportunities, no one works harder for you than Randstad.
Equal Opportunity Employer: Race, Color, Religion, Sex, Sexual Orientation, Gender Identity, National Origin, Age, Genetic Information, Disability, Protected Veteran Status, or any other legally protected group status.
At Randstad, we welcome people of all abilities and want to ensure that our hiring and interview process meets the needs of all applicants. If you require a reasonable accommodation to make your application or interview experience a great one, please contact HRsupport@randstadusa.com.
Pay offered to a successful candidate will be based on several factors including the candidate's education, work experience, work location, specific job duties, certifications, etc. In addition, Randstad offers a comprehensive benefits package, including health, an incentive and recognition program, and 401K contribution (all benefits are based on eligibility).
This posting is open for thirty (30) days.
It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.
