Job Description
**Job Overview**
**Overview**
This is a remote position under Revenue Cycle Management that is responsible for obtaining all medical necessity approvals for a patient's service and/or verifying they meet any medical policy criteria required by the patient's insurance. They evaluate, collect, and submit all necessary information accurately to secure the highest possibility of approval. If an insurance request is rejected/denied, they facilitate denial mitigation steps and effectively communicate what is needed to care teams, operational teams, various other internal customers, and patients/guarantors. There are a limited number of Level III and Lead positions available and are filled as business needs present.
**Required Qualifications**
+ Bachelor of Arts in business, healthcare, or related area. 3 years of revenue cycle experience may substitute for an associate degree.
+ 1 year experience working in revenue cycle, insurance verification, financial securing, or related areas using an EHR or enterprise software system in a healthcare organization. This experience must be in addition to three years of experience in lieu of associate degree requirement above.
+ Knowledge of insurance terminology, plan types, structures, and approval types
+ Knowledge of computer systems, including Microsoft Office 365
**Preferred Qualifications**
+ Referrals and/or prior authorization experience
+ Epic experience
+ Knowledge of medical terminology and clinical documentation review
**Benefit Overview**
Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link for additional information:
**Compensation Disclaimer**
An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical.
**EEO Statement**
EEO/Vet/Disabled: All qualified applicants will receive consideration without regard to any lawfully protected status
Job Tags
Temporary work, Work at office, Remote work,
Similar Jobs
Aristocrat
We are on the lookout for extraordinary people, who will be eager to learn, to be a part of a team and share our vision. For our offices in Cracow and Warsaw, we are looking for experienced .NET Developer to develop an enterprise-scale web-based platform for online lotteries...
Goodyear Tire & Rubber Company
IMMEDIATELY HIRING!!! - APPLY TODAY!!! Just Tires is an automotive service provider that has a high focus on customer experience and satisfaction. We offer a fun, fast paced work environment, with competitive base pay. Our comprehensive benefit package includes medical...
Aerotek
**Job Title: Pipe Fitter****Job Description**We are looking for a skilled Pipe Fitter who is proficient in pipe cutting and fitting to join our team. This role involves working with stainless steel pipes, using plasma cutters, and measuring various pipe sizes with precision...
Brattleboro Subaru
.... We are currently seeking an enthusiastic Part-Time Saturday Receptionist to join our team. We're a place for employees to have a career... ...position plays a key role in creating a welcoming atmosphere for our weekend guests, assisting with inquiries and directing calls. If you...
Connecticut State Community College
...Details: The CT State Community College isdeveloping a pool of applicants for potential part-time Library Assistant positions. (Up to 17 hours per week). These positions are on continuous recruitment, and are filled on an as-needed basis, depending specific department...