Appeals Intake Jobs in Utah (NOW HIRING)

JQ Medical Supply, a mid-sized provider of medical devices, is seeking an organized and detail-oriented Intake Specialist to join our dynamic team. This fast-paced role is crucial for ensuring that all patient information is accurately processed in a timely manner. The Intake Specialist will work closely with the inside sales team on all new patient orders, focusing on efficient insurance verification, payment quoting, and medical documentation review.
About JQ Medical
Founded in 1994, JQ Medical's mission is to help its customers live happier, longer, healthier lives with a world-class customer experience. Our Core Values are the guiding principles that drive our mission.
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 company's 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 performance-based incentives.
• Health, dental, and vision insurance.
• Paid time off (PTO) and holidays.
• 401 (k) with company match
• Career growth opportunities within the company.
• Supportive team environment.

Salary
$20 - $23 per hour