Healthcare Revenue Operations Specialist
1 day ago
This role plays a critical part in supporting efficient and compliant revenue cycle operations.
The successful candidate will be responsible for ensuring accurate and timely insurance verification, managing authorizations, and tracking physician orders.
Key responsibilities include:
- Insurance Verification:
- Perform initial verification of patients' insurance coverage for services. Document verification information within the client's Electronic Medical Record (EMR) system.
- Conduct monthly re-verifications to identify any changes in insurance.
- Authorization Management:
- Submit initial authorization requests to insurance companies for services requiring pre-certification. Compile and submit required medical documentation from the client's EMR to support authorization requests.
- Manage follow-up and subsequent authorization requests as needed.
- Physician Order Tracking:
- Send unsigned physician orders to appropriate physician offices for review and signature. Follow up on outstanding or aged unsigned orders and implement strategies for timely completion.
- Review and upload signed physician orders into the client's EMR, ensuring compliance.
- Documentation & Reporting:
- Develop and maintain internal tracking spreadsheets and databases to support day-to-day workflow.
- Team Support:
- Assist in training new or existing staff on workflows and best practices. Support other administrative or operational duties as assigned.
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Sahiwal, Punjab, Pakistan beBeeRevenueCycle Full time $55,000 - $75,000About Our OpportunityWe are seeking a highly skilled Revenue Cycle Specialist to support our organization's efficient and compliant revenue cycle operations. The successful candidate will be responsible for verifying accurate insurance coverage, managing authorizations, and tracking physician orders in a timely manner. Key Responsibilities:Ensure accurate...
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