Triton Medical Solutions · 2 months ago
VOB and Prior Authorization Specialist
United States
Full-time
Remote
New Grad, Entry LevelTriton Medical Solutions is a medical billing company located in Tempe, Arizona, seeking a Part-Time Remote Insurance Verification and Prior Authorization Specialist. The role involves obtaining prior authorization approvals from insurance companies and ensuring necessary procedures are covered for providers across the country.
ConsumerHealth CareService Industry
Responsibilities
Verify patients medical plan benefits and requirements according to their specific medical policy, to ensure necessary procedures are covered by an individual’s provider and maximum payment for services rendered
Handle incoming and outgoing calls from internal team members, insurance payers, and customers related to insurance benefits
Identify important patient and demographic information that are missing and update information to avoid claim processing issues with the insurer
Create or build charts for provider’s offices from faxed in documentation
Determine if prior authorization and/or gap exception is required for ordered services
Ensures appropriate clinical documentation is available and complete before submitting the prior authorization and/or gap exception
Send clinical documentation to the insurance company for review and approval
Follow up with insurance companies to ensure documentation has been received and prior authorization and/or gap exception is in process
Obtain and review prior authorization and/or gap exception approval and upload approval documentation to the patient’s chart
Communicate to our providers that the approval is complete, and patient is ready to be seen for services
Ensure security and confidentiality of data and office technology
Perform additional daily tasks and/or special projects, as necessary
Qualification
Required
General knowledge of insurance cards, medical insurance terminology, medical benefits, and CPT and ICD 9/10 coding
Previous experience with a medical billing company in the accounts resolution or claim appeals department
Previous experience with certified medical billing software
Excellent interpersonal skills
Attention to accuracy and detail in all aspects of responsibilities
The ability to manage priorities and focus on completing tasks efficiently and within time frames
Experience performing research utilizing the Internet
Excellent organizational skills
Experience implementing and managing organizational protocols
Flexibility and a willingness to perform other reasonable duties as requested
Company
Triton Medical Solutions
Triton Medical Solutions specializes in medical billing, dental billing, revenue cycle management, commercial and Medicare contracting.
Founded in 2011
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Matthew Beninato
Founder/CEO
Company data provided by crunchbase