Insurance Verification Specialist - Contractor Only

Recora Health

Recora Health

United States · Remote
Posted on Friday, April 26, 2024

Mission

Empower everyone to live a long, full and optimal life by redefining the future of heart health.

1 in 3 humans die of heart disease - it's time to change that.

We're designing heart health from the ground up so that humans can live fuller lives. We're building technology to accelerate recovery after a cardiac event. And we're optimizing health stacks to realize preventive and aspirational goals.

Recora is redefining the future of heart health — we invite you to join us on this mission.

About Recora

Recora was founded in 2020 by seasoned digital health entrepreneurs. In past roles, we've founded and scaled high-growth startups, run large health systems, advised government programs, built technology you use every day, and provided healthcare for millions of lives.

We're backed by leading VCs including SignalFire, Pear, GFC , 2048, Great Oaks, MGV and more. Over the last year, we've built the leading virtual cardiac recovery and management platform for members with cardiac conditions. For every member we serve, we add an average of five years to their lifespan.

We're growing – fast. Our member base is doubling every month and we're looking to 3x our team size quickly. This will allow us to scale nationally and accelerate product development across the continuum of heart health.

Who We Are

We are innovators at heart. This driving force guides us to create, build, partner, and operate at the highest levels. We seek answers to some of the hardest problems in technology and healthcare and enjoy the process of finding unexplored solutions.

We're a group of diverse, thoughtful and humble folks. Having worked in organizations of every size and shape, we know that people make or break teams. An open, ego-free and supportive culture is central to making the best team of people at Recora.

As a team, we love our work and love working together. We take ownership in Recora and strive to grow personally and professionally in service of our mission. Because we enjoy hard problems and value growth, we can celebrate both challenges and excellence in equal measure.

Job Title: Insurance Verification Specialist

Classification: Part Time/1099 Contractor

Work Structure: Fully Remote

Shift: Monday-Friday; Day Shift (EST)

Team: Clinical Operations

Reporting to: Program Manager

Location: United States

Compensation: $20 per hour

About Us:

One in three people die of heart disease - it's time to change that. We're redesigning heart health from the ground up so that everyone can live fuller lives. Our team consists of mission-driven clinicians, engineers, and professionals attacking a problem using evidence-based research and guidelines for cardiovascular rehabilitation. We’re working to deliver exercise and wellness for the older adult cardiovascular disease using telemedicine. We are dedicated to delivering exceptional services that enhance the lives of our patients.

Job Summary:

The Insurance Verification Specialist will review patient insurance information and verify in advance the treatments that their policies will cover. They then call insurance companies and send the proper documentation to verify authorizations for procedures which require them.

Essential Job Functions and Responsibilities:

  • Enter data and validate patient information.
  • Researches and corrects invalid or incorrect patient demographic information such as invalid insurance policy number to ensure proper billing.
  • Determines member benefit coverage.
  • Monitor and verify insurance information for individual patient visits and procedures.
  • Communicate with patients about co-pays, benefits, coverage, and care authorization.
  • Contacts providers with authorization, denial, and appeals process information.
  • Assists in educating and acts as a resource to scheduling department.
  • Works and assists with the billing department in researching and resolving rejected, incorrectly paid, and denied claims as requested.
  • Responds professionally to all inquiries from patients, staff, and payors in a timely manner.
  • Accurately documents patient accounts of all actions taken

Qualifications:

The ideal candidate must be a rigorous analytical thinker and problem solver with the following professional attributes:

  • Strong work ethic and sound judgment
  • Proven written and verbal communication skills
  • Natural curiosity to pursue issues and increase expertise
  • Demonstrated knowledge of insurances
  • Two to four years related experience and/or training in insurance verification
  • Two to four years of experience in medical billing
  • Two to four years of experience in authorizations
  • Knowledge of CPT and ICD10 codes.
  • Excellent computer, multi-tasking and phone skills.
  • The ability to work well under pressure (most of the paperwork is time sensitive).
  • Must successfully pass a background check.

Additional Information

In accordance with HIPAA, this position must maintain the confidentiality of the patient in all circumstances as well as company confidentiality. Ensures the confidentiality of data collected and stored is maintained.

This description is intended to provide basic guidelines for meeting job requirements. Responsibilities, knowledge, skills abilities, and working conditions may change as needs evolve.