Our Mission
Our mission is to provide the best possible support to children with autism and their families by attracting, developing and retaining world-class clinicians and therapists. Stride has an unwavering commitment to meaningful outcomes. Please visit www.stridecenters.com to learn more about us!
Responsibilities:
-Manages daily work queues to ensure prior authorizations are submitted within the company policy and timeline.
-Verify client’s insurance benefits
-Identify items that require prior approval based on individual payer criteria and policy
-Learn payer’s policy and procedures, documenting payer coverage policy guidelines
-Effectively place calls to payor to inquire and submit prior approvals
-Places follow up calls to payers to check status of previously submitted prior authorizations
-Work with internal company departments to resolve prior auth denials
-Escalates incorrect payer responses with payer’s utilization review or case management departments.
-Work assigned accounts
-Enter both pending and official prior auth responses in all required Stride systems
-Adhere to Stride policy and procedures for completing reports, forms, and office paperwork
-Reports to supervisor and/or manager any problems or issues that result in non-approval trends
-Inputs client insurance or funding source information, pending prior auth information, treatment plan information, proposed mins for treatment, office Tax ID, NPI
-Manages all existing client’s payer and prior auth requests changes, Including re-scheduling any upcoming appointments to the correct payer
-Communicate to the supervisor / manager any potential issues or delays in updating client’s information within the practice management system
-Follow company and department protocols
Job Type: Full-time
Pay: From $17.00 per hour
Benefits:
- 401(k)
- Dental insurance
- Health insurance
- Paid time off
- Vision insurance
- Work from home
Schedule:
- Monday to Friday
Education:
- High school or equivalent (Preferred)
Experience:
- Insurance verification: 1 year (Preferred)
- Medical billing: 1 year (Preferred)
Work Location: One location
Source: Indeed.com
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