Job Description

The Jr Insurance Authorization Agent will be working for a fast-growing business process outsourcing provider to provide support to one of our largest accounts and leading provider of healthcare services. This provider serves 959 hospitals and 2979 physician practices with over 50 million patient encounters annually.

In your role, you will be supporting patient inquiries, directly affecting the patient experience and improving the health of communities.

Responsibilities

• Perform daily review and updates of unbilled and pre-billed accounts in the eRequest queue, including corrections needed to activate accounts for claim billing.
• Review and validate billing codes to ensure accuracy, compliance, and appropriate billing practices, supporting proper claim submission and minimizing coding errors.
• Review and validate Advance Beneficiary Notice of Noncoverage (ABN) forms to ensure accuracy and completeness, supporting proper documentation, regulatory compliance, and reduction of claim denials for noncovered services.
• Verify patients’ insurance coverage and confirm correct insurance plan sequencing for billing and claims processing purposes, updating patient accounts as needed to support accurate billing, compliance, and reduction of claim errors and denials.
• Ensure appropriate documentation is entered in standard format within the patient record in the applicable Health Information System (e.g., Meditech) and any necessary subsidiary systems when updates are not automatically applied.
• Meet or exceed performance expectations and complete assigned work within required time frames.
• Implement and follow system downtime procedures when necessary.
• Practice and adhere to the organization’s Code of Conduct philosophy and Mission and Value Statement.
• Perform other duties as assigned.

Skills and Experience

• English – Spanish Language (Oral and writing B2+ or above).
• Must have a high school diploma.
• At least 6 months of experience in Customer Service positions.
• This job adjusts to the Eastern Time Zone and follows a US holiday schedule.
• Strong customer service skills
• Excellent communication skills
• Comfortable working in a high volume/high demand environment
• Good presentation and a polite, tactful and friendly character.

About Auxis

Auxis places a high priority on employee growth and development, fostering an environment where you can advance in your career. Our culture empowers you to perform at your best, aligning with our team's shared goals. We are continuously working to enhance our culture and environment, investing in tools to gain better insights into the heartbeat of our organization.

Benefits:

• Comprehensive health benefits covering medical, vision, and dental.
• Transportation subsidy.
• Solidarity Association.
• Training and development programs.
• Employee recognition program.
• Generous paid time off and family leave.
• Enjoy a paid day off on your birthday!