Remote Medical Authorization Jobs in Portland, OR

Description

PeaceHealth is seeking a Patient Account Coordinator Home & Community for a Full Time, 1.00 FTE, Day position. The salary range for this job opening at PeaceHealth is 23.74 - 35.62. The hiring rate is dependent upon several factors, including but not limited to education, training, work experience, terms of any applicable collective bargaining agreement, seniority, etc.

Remote Position: Must live in Oregon, Washington, or Alaska

Provides dedicated expert focus on insurance, reimbursement, account corrections, authorizations, and other financial issues to maximize financial stability of PeaceHealth home health and/or hospice programs.

Essential Functions

• Verifies coverage and ensures all insurance requirements are met.
• Obtains insurance authorizations. Ensures insurance carrier (including Medicare) documentation requirements are met and documentation is filed in patient's medical record. Completes in a timely manner per insurance coverage requirements.
• Identifies and evaluates how to maximize the patient's health insurance benefits. Ensure all demographic, insurance and eligibility information obtained are up to date.
• Efficiently manages correspondence with patients, physicians, specialists, clinicians, and insurance companies. Documents pertinent information in medical record. Ensures practitioners are following standardized guidelines as recommended by Home & Community Services.
• Performs work in accordance with regulatory requirements, policies/procedures and departmental standards in regard to HIPAA and other government requirements. Supports proper billing procedures while ensuring privacy guidelines are implemented and carried out.
• Responds to customer inquiries in accordance with state and federal laws or applicable internal policies. This response may include charge estimates, clarifying billing practices, correctness of billing and options for resolving private pay balances. Provides financial assistance information when appropriate.
• Communicates appropriately with all customers to include, updating insurance, and routing accounts to appropriate service areas when needed. Handles a high volume of inbound and outbound calls.
• Communicates all necessary requirements needed to support third party and government billing.
• Obtains insurance authorizations for patients and subsequent authorizations for visits and disciplines.
• Works in collaboration with Patient Financial Services to improve revenue cycle process.
• Performs other duties as assigned.

Qualifications

Education

• Accredited School Preferred: Business or two years college

Experience

• 3 years Required: Experience working in insurance in a medical related field, or other related experience
• 1 year of experience performing medical authorizations required. 
• 1 year Home Health experience preferred.

Skills

• Knowledge of Hospice Medicare regulations and Home Health insurance regulations. (Preferred)
• Ability to work from home in a secure environment free of distractions with appropriate high-speed connectivity. (Required)
• Proficient use of computer including MS Office applications. (Required)
• Must be able to manage conflict effectively and professionally. (Required)
• Excellent time management skills, with an emphasis on meeting time sensitive deadlines. (Required)
• Strong verbal, written and interpersonal communication skills. (Required)
• Strong analysis/problem solving skills. (Required)
• Strong organization skills with the ability to work independently and as part of a team. (Required)
• Excellent customer service skills. (Required)

Working Conditions

Lifting

• Consistently operates computer and other office equipment.
• Exerting up to 10 pounds of force occasionally and/or negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects.
• Sedentary work.

Environmental Conditions

• Predominantly operates in an office environment.
• Some time spent on site in medical/hospital setting.

Mental/Visual

• Ability to communicate and exchange accurate information.
• The worker is required to have close visual acuity to perform an activity such as: preparing and analyzing data and figures; transcribing; viewing a computer terminal; extensive reading.

PeaceHealth is committed to the overall wellbeing of our caregivers: physical, emotional, financial, social, and spiritual. We offer caregivers a competitive and comprehensive total rewards package. Some of the many benefits included in this package are full medical/dental/vision coverage; 403b retirement plan employer base and matching contributions; paid time off; employer-paid life and disability insurance with additional buyup coverage options; tuition and continuing education reimbursement; wellness benefits, and expanded EAP and mental health program.

See how PeaceHealth is committed to Inclusivity, Respect for Diversity and Cultural Humility.

For full consideration of your skills and abilities, please attach a current resume with your application. EEO Affirmative Action Employer/Vets/Disabled in accordance with applicable local, state or federal laws.