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Insurance Job in Orlando, Florida : FL 32822

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Medical Insurance Specialist

IES of FL, LLC dba Pro Image SolutionsLogo
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IES of FL, LLC dba Pro Image Solutions
Customer Service
Orlando
Florida
32822
click here to apply

Medical Insurance Specialist Job Description


Medical Insurance Specialist


Exciting opportunity to join a fast-growing technology company serving the laboratory industry, providers, and the payers by managing prior authorizations and other patient access processes for laboratory testing. Currently seeking a professional and enthusiastic individual with demonstrated experience to:

  • Submit PA requests via online portals, and other methods for diagnostic and genetic laboratory tests
  • Complete benefits investigations, PA appeals, claims appeal, and other processes to facilitate patient access to diagnostic and genetic laboratory testing
  • Populate Insurer forms
  • Serve clients by handling inbound calls from health care providers/ payers / and patients
  • Populate medical and insurance forms with a high degree of accuracy
  • Compare demographic, insurance clinical information, and supporting clinical documentation to validate accuracy of documents before submitting to insurance
  • Troubleshoot where necessary to achieve goal of obtaining authorization
  • Follow up on pending cases with payers, patients, health care providers, and laboratories through to resolution

Qualifications and Skills


Experience:

  • Healthcare background, or coding, with medical terminology
  • Previous experience with prior authorizations and medical insurance knowledge (Familiar with Medicaid, Medicare, and commercial payers)
  • Medical Billing experience Preferred
  • Computer Skills
  • minimum 2 years' experience with Microsoft Word and Excel
  • Oncology related experience a plus
  • Laboratory related experience a plus

Skills

  • excellent skills in written and verbal communication

  • time management coupled with SUPERB follow up

  • attention to detail with heavy data entry accuracy

  • medical terminology

  • understanding of medical insurance benefits

  • ICD-10 knowledge

  • CPT knowledge

  • Ability to balance different tasks as assigned

  • Customer Services skills



Orlando Insurance Job

Medical Insurance Specialist Job Requirements

 

  • Complete benefits investigations, PA appeals, claims appeal, and other processes to facilitate patient access to diagnostic and genetic laboratory testing
  • Populate Insurer forms
  • Serve clients by handling inbound calls from health care providers/ payers / and patients
  • Populate medical and insurance forms with a high degree of accuracy
  • Compare demographic, insurance clinical information, and supporting clinical documentation to validate accuracy of documents before submitting to insurance
  • Troubleshoot where necessary to achieve goal of obtaining authorization
  • Follow up on pending cases with payers, patients, health care providers, and laboratories through to resolution
Apply to this Orlando Insurance Job
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