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Remote Medical Authorization Jobs in Reno, NV (NOW HIRING)

UHS

Accounts Receivable Specialist- Remote

Reno, NV · On-site +1

$19.14 - $28.72/hr

As a last resort after exhausting all efforts, performs accurate write-offs (e.g. no authorization ... Excellent Medical, Dental, Vision and Prescription Drug Plans * 401(K) with company match and ...

Carson Tahoe Health

CODING DIAGNOSTICIAN

Carson City, NV · On-site +1

$18.25 - $24.50/hr

This position is fully remote* Summary The Coding Diagnostician evaluates medical records, provides ... appropriate signatures/authorizations. * Refers inconsistent patient treatment information ...

Talkiatry

Remote Psychiatrist (MD/DO) - Nevada

Reno, NV · Remote

$325K - $375K/yr

Active, unrestricted medical license (multi-state licensing support available) * Interest in ... authorized to work in the U.S. only after a job offer is accepted and Form I-9 is completed. For ...

GardaWorld

Business Development Manager

Reno, NV · Remote

$75K/yr

... remote video monitoring, helping organizations reduce risk, prevent loss, and maintain 24/7 peace ... Reno, NV (This is a hybrid position) Work Schedule: Full-time Comprehensive benefits: medical ...

GardaWorld

Business Development Manager

Reno, NV · Remote

$75K/yr

Work Schedule : Full-time * Comprehensive benefits: medical, dental, and vision insurance plans ... Authorized to work in the United States * Must possess a valid driver's license and maintain a ...

Talkiatry

Psychiatrist - Part Time/Full Time

Truckee, CA · Remote

$325K - $375K/yr

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Active, unrestricted medical license (multi-state licensing support available) * Interest in ...

Talkiatry

Psychiatrist - Part Time/Full Time

Reno, NV · Remote

$325K - $375K/yr

Minimal administrative burden in a fully remote, outpatient model What your day-to-day practice ... Active, unrestricted medical license (multi-state licensing support available) * Interest in ...

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Remote Medical Authorization information

What is a remote medical authorization specialist?

A Remote Medical Authorization specialist is a professional who reviews and processes medical authorization requests from healthcare providers, typically working from a remote location. Their main responsibility is to ensure that medical procedures, treatments, or medications meet specific criteria for insurance coverage or regulatory compliance before approval. They communicate with providers, insurance companies, and sometimes patients to gather necessary information and make informed decisions. This role requires a strong understanding of medical terminology, insurance policies, and healthcare regulations. Remote Medical Authorization specialists play a crucial role in streamlining healthcare access while managing cost and compliance.

What are the key skills and qualifications needed to thrive as a remote medical authorization specialist?

To thrive as a Remote Medical Authorization Specialist, you need a solid understanding of medical terminology, insurance procedures, and prior authorization processes, usually backed by experience in healthcare administration or a related field. Familiarity with electronic health records (EHR) systems, insurance portals, and authorization management software is typically required. Strong attention to detail, effective communication, and organizational skills are crucial for handling complex cases and collaborating across teams. These competencies are vital for ensuring timely, accurate authorizations that support patient care and optimize reimbursement.

What are some common challenges faced by professionals in a remote medical authorization role, and how can they be effectively managed?

Professionals in a Remote Medical Authorization role often encounter challenges such as coordinating with multiple healthcare providers, managing a high volume of authorization requests, and ensuring compliance with complex insurance policies. Effective communication skills, attention to detail, and strong organizational abilities are essential for managing these demands. Utilizing digital tools and maintaining up-to-date knowledge of payer guidelines can help streamline workflows and reduce errors. Building strong relationships with both clinical teams and insurance representatives also supports smoother case resolution.

What is the difference between Remote Medical Authorization vs Remote Medical Billing Specialist?

AspectRemote Medical AuthorizationRemote Medical Billing Specialist
Required CredentialsMedical license, certification in medical authorization or prior authorizationMedical billing certification, knowledge of coding and insurance
Work EnvironmentHealthcare providers, insurance companies, remoteMedical offices, insurance companies, remote
Industry UsageUsed to obtain prior approvals for treatments or proceduresHandles billing, coding, and insurance claims processing

Remote Medical Authorization focuses on obtaining prior approvals for medical procedures, requiring medical credentials. Remote Medical Billing Specialists handle billing and coding tasks, often requiring billing certifications. Both roles are essential in healthcare but serve different functions within the industry.

What are popular job titles related to Remote Medical Authorization jobs in Reno, NV?

For Remote Medical Authorization jobs in Reno, NV, the most frequently searched job titles are:

What job categories do people searching Remote Medical Authorization jobs in Reno, NV look for?

The top searched job categories for Remote Medical Authorization jobs in Reno, NV are:

What cities near Reno, NV are hiring for Remote Medical Authorization jobs?

Cities near Reno, NV with the most Remote Medical Authorization job openings:

Remote Medical Authorization jobs near you

Accounts Receivable Specialist- Remote

Reno, NV • On-site, Remote

UHS
Health Care and Social Assistance • 10K+ employees
Learn more about UHSexternal

$19.14 - $28.72/hr

Full-time

Medical, Dental, Vision, Retirement, PTO

Re-posted 7 days ago

Key responsibilities

  • Follow up on unpaid, underpaid, and denied claims to ensure timely payment and minimize write-offs.

  • Research claim denials, determine reasons for denials, and reprocess claims or initiate appeals as needed.

  • Document actions taken on accounts, identify denial trends, and participate in team meetings to improve claim resolution processes.

Universal Health Services rating

6.8

Company rating: 6.8 out of 10

Based on 255 frontline employees who took The Breakroom Quiz

Job description

Responsibilities
Remote opportunity.
This role requires a 3 month training period in office if you live within commuting distance to the King of Prussia, PA headquarters.
Independence Physician Management (IPM) was formed in 2012 as the physician services unit. IPM develops and manages multi-specialty physician networks and urgent care clinics within the Acute Care and Behavioral Health Divisions. A subsidiary of UHS, IPM operates in 13 markets across 7 states - and counting. We help doctors manage their practices and clinical procedures so they can concentrate on caring for their patients.
To learn more about IPM visit Physician Services - Independence Physician Management - UHS.
Successful candidate must live in one of these locations:
  • Pennsylvania
  • Florida
  • Texas
  • Nevada
The Accounts Receivable Specialist is responsible for the accurate and timely follow-up of unpaid and underpaid claims by assigned payer/s and defined aging criteria to meet or exceed collection targets and minimize write-offs. Researches claim denials by assigned payer/s to determine reasons for denials correcting and reprocessing claims for payment in a timely manner. Meets or exceeds the department's established performance targets (productivity and quality). Initiates and follows-up on appeals. Exercises good judgement in escalating identified denial trends or root cause of denials to mitigate future denials, expedites the reprocessing of claims and maximizes opportunities to enhance front end claim edits to facilitate first pass resolution. Identifies uncollectible accounts and performs accurate and timely write-offs (e.g. no authorization) adhering to IPM CBO policy guidelines. Demonstrates the ability to be an effective team player. Upholds "best practices" in day-to-day processes and workflow standardization to drive maximum efficiencies across the team.
Job Responsibilities:
  • Accurate and timely follow-up on claims that have not received a response, have been denied, or have been under/over paid. Works with payer to determine reasons for denials. Corrects and reprocesses claims for payment in a timely manner. Proceeds with appeals process as needed. Performs eligibility and claim status follow-up inquiries utilizing outbound calls to the payer, web link tools and payer websites. Documents all actions taken on accounts worked according to the department policy to ensure clear understanding of encounter status
  • Identifies root causes and denial trends and makes recommendations to department leadership to prevent additional denials. Maintains a strong working knowledge of payer requirements and can research payer policies including LCD's and NCD's to help determine root cause for denial trends.
  • As a last resort after exhausting all efforts, performs accurate write-offs (e.g. no authorization) following the identification of uncollectible accounts. Strictly adheres to IPM CBO write-off policies and procedures and utilizes proper adjustment aliases as defined in departmental job aides.
  • Participates in regularly scheduled team meetings sharing denial trends specific to claim requirements to enhance front end claim edits to facilitate first pass resolution. Contributes ideas for workflows and approaches to A/R follow-up tasks to maximize opportunities for performance, process, and net revenue collections improvement.
  • Meets established productivity metrics for the AR Department. Meets routinely with Supervisor to review productivity results and understands best practices and opportunities to create efficiencies in order to achieve maximum performance.
  • Meets established quality metrics for the AR Department. Meets monthly with Supervisor to review quality results and collaborate on ways to improve scores. Upon receipt of monthly QR report, corrects any errors identified
Benefit & Rewards Highlights
  • Challenging and rewarding work environment
  • Competitive Compensation & Generous Paid Time Off
  • Excellent Medical, Dental, Vision and Prescription Drug Plans
  • 401(K) with company match and discounted stock plan
  • Career development opportunities within UHS and its 300+ Subsidiaries!
  • Pet Insurance
  • More information is available on our Benefits Guest Website: benefits.uhsguest.com
Qualifications
High School Graduate/GED required. Technical School/2 Years College/Associates Degree preferred.
  • Work experience: Experience (1-3 years minimum) working in healthcare revenue cycle
  • Healthcare (professional) billing, knowledge of CPT/ICD-10 coding, government, managed care and commercial insurances, claim submission requirements, reimbursement guidelines, and denial reason codes
  • Understanding of the revenue cycle and how the various components work together preferred
  • Excellent organization skills, attention to detail, research, and problem-solving ability. Results oriented with a proven track record of accomplishing tasks within a high-performing team environment. Service-oriented/customer-centric. Strong computer literacy skills including proficiency in Microsoft Office
EEO Statement
All UHS subsidiaries are committed to providing an environment of mutual respect where equal employment opportunities are available to all applicants and teammates. UHS subsidiaries are equal opportunity employers and as such, openly support and fully commit to recruitment, selection, placement, promotion and compensation of individuals without regard to race, color, religion, age, sex (including pregnancy, gender identity, and sexual orientation), genetic information, national origin, disability status, protected veteran status or any other characteristic protected by federal, state or local laws.
Avoid and Report Recruitment Scams
We are aware of a scam whereby imposters are posing as Recruiters from UHS, and our subsidiary hospitals and facilities. Beware of anyone requesting financial or personal information.
At UHS and all our subsidiaries, our Human Resources departments and recruiters are here to help prospective candidates by matching skill set and experience with the best possible career path at UHS and our subsidiaries. During the recruitment process, no recruiter or employee will request financial or personal information (e.g., Social Security Number, credit card or bank information, etc.) from you via email. Our recruiters will not email you from a public webmail client like Hotmail, Gmail, Yahoo Mail, etc.
If you suspect a fraudulent job posting or job-related email mentioning UHS or its subsidiaries, we encourage you to report such concerns to appropriate law enforcement. We encourage you to refer to legitimate UHS and UHS subsidiary career websites to verify job opportunities and not rely on unsolicited calls from recruiters.

What Universal Health Services employees say

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About Universal Health Services

Sourced by ZipRecruiter

Universal Health Services (UHS) is a major player in the healthcare industry, based in King of Prussia, Pennsylvania, U.S. Founded in 1978, UHS offers hospital and healthcare services. Their diverse services range from acute care hospitals, behavioral health facilities and ambulatory centers nationwide. The company's mission of enhancing the health and well-being of their patients is reflected in their commitment to 'Helping Individuals Live Longer, Healthier and Happier Lives'. Universal Health Services' consistent growth and success in their industry have been recognized on numerous occasions, including being ranked amongst the Fortune 500 list of largest companies.

Industry

Health care and social assistance

Company size

10,000+ Employees

Headquarters location

King of Prussia, PA, US

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