Job Description

Responsibilities Collaborate closely with the inside sales team to manage patient orders and ensure a seamless and swift process from intake/order to fulfillment. Verify patient insurance coverage and ensure all required documentation is complete and accurate. Gather and review necessary medical documentation from healthcare providers and patients. Prepare and provide payment quotes for medical devices and supplies to patients and healthcare providers. Maintain patient confidentiality and adhere to HIPAA regulations at all times. Update and maintain accurate patient records in the companys database. Assist in the resolution of billing and insurance discrepancies. Provide exceptional customer service to patients and healthcare providers. Stay informed about the latest industry regulations and compliance requirements. Thrive in a fast-paced environment, adapting quickly to changing priorities. Specialized Areas of Focus Managing and overseeing the pre-certification process for medical supplies. Ensure timely submission and follow-up on prior authorization requests to avoid delays in patient care. Understand the specific requirements and guidelines of various insurance plans regarding prior authorizations. Handle appeals for denied authorizations, including the preparation of necessary documentation and communication with payers. Qualifications High school diploma or equivalent; associate degree in Healthcare Administration or related field preferred. 1-2 years of experience in medical billing, insurance verification, or a similar role in the healthcare industry. Proficiency with medical billing software and electronic medical records. Strong understanding of insurance policies, including Medicare and Medicaid. Excellent organizational skills and attention to detail. Strong communication skills, both written and verbal. Ability to multitask and work under pressure. Commitment to ethical and confidential data handling practices. Benefits Competitive salary and comprehensive benefits package. Opportunities for professional development and career advancement. Supportive team environment. 
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JQ Medical

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