A-Line Staffing is recruiting for a full time permanent Intake Specialist – Insurance Authorization Representative in Pittsburgh, PA. They are offering a generous compensation and a full benefit package. #ALINE8

Intake Specialist – Insurance Authorization Representative

Pittsburgh, PA

Compensation - $21.00 per hour

Shift- Mon-Fri 1p-930p
Training- First 4 weeks from 8:30a - 5:00pm

ONSITE Position (Hybrid potential after 6 months)

Job Description
Requirements

• Insurance AUTHORIZATIONS exp
• Authorizations
• Pharmacy Technicians do great in these roles.

The Cardiac division of this Medical Corporation develops products to protect and manage cardiac patients, including the product wearable cardioverter defibrillator (WCD), the company cardiac monitor, and associated technologies. Heart disease is the leading cause of death for both men and women in the U.S.

At this company, your work will help to ensure cardiac patients get the life-saving therapy they need. To date, the product has been worn by hundreds of thousands of patients and saved thousands of lives.

The company has been Pittsburgh’s Manufacturer of the Year, one of Western PA’s Healthiest Employers, and even one of Pittsburgh’s Coolest Offices. But it is our unique opportunity to impact people’s lives that makes the company the ideal place to build your career.

Job purpose

The Intake Specialist is an integral member of the reimbursement team and has primary responsibility for the timely handling of new medical orders from hospitals and physician offices. This individual is responsible for front-end functions of the order fulfillment process. Individual will work with numerous insurance types in reviewing medical orders and clinical documentation to determine benefit and clinical eligibility for the product. Individual is responsible for creating and maintaining relationships with insurance companies, sales reps, and other internal departments.

Shifts: Mon-Fri 1pm-9:30pm

Location: Pittsburgh, PA

• Hybrid after six months, than can be two days onsite and three offsite (but can vary)

Pay Rate: $21 an hour

• .15 multiple on hourly pay for any hours worked after 7 pm

Duties and responsibilities

• Creation of patient record
• Verification of benefits
• Triage, work and resolve intake orders
• Explain medical need and educate insurance case managers on Vest system to obtain authorization for services
• Obtain necessary documentation (medical order, clinical notes, testing) and submit to insurance carrier for coverage determination
• Obtain authorizations as required by payer
• Execute timely follow up on all assigned tasks
• Maintain a score of at least Meets Expectations on monthly scorecard
• Identify qualifying diagnosis based on payer requirements
• Triage fax documents for timely review
• Communicate authorization results and order status to sales representatives
• Complete fee calculator and inform billing department of appropriate charges
• Contact customers, physician offices, and sales representatives to relay and/or obtain insurance information and/or additional documentation to assist with seeking reimbursement and coordination of benefits

• Performs other duties as assigned by management

Qualifications

• H.S. Diploma or equivalent required. Associate’s or Bachelor’s degree in nursing, business, or other related field preferred
• 2-3 years insurance verification experience
• Superior communication; both verbal and written
• Strong customer service skills
• Proficiency in navigating several software systems concurrently
• Aptitude to handle multiple tasks simultaneously under strict deadlines
• Attention to detail
• Superior organizational and time management skills
• Ability to communicate policy information in a clear and detailed manner
• Proficiency with MS Office Suite
• Supervisory responsibility - None

AAP/EEO Statement

We are committed to fostering an inclusive workplace, where unique identities, backgrounds, cultures, perspectives and experiences are respected and valued.

Equal Opportunity Employer – Disability and Veteran

Rate Information

· Salary Minimum

$43,680.00

· Benefits

For immediate consideration please reply directly to this posting. A-Line Staffing Roxanne Berendt cell# 586-256-1110.

Qualifications

• H.S. Diploma or equivalent required. Associate’s or Bachelor’s degree in nursing, business, or other related field preferred
• 2-3 years insurance verification experience
• Superior communication; both verbal and written
• Strong customer service skills
• Proficiency in navigating several software systems concurrently
• Aptitude to handle multiple tasks simultaneously under strict deadlines
• Attention to detail
• Superior organizational and time management skills
• Ability to communicate policy information in a clear and detailed manner
• Proficiency with MS Office Suite
• Supervisory responsibility - None