Are you passionate about making a difference in people's lives? Do you enjoy working in a service-oriented industry? If so, this opportunity may be the right fit for you!

This position is responsible for obtaining and managing authorizations for medical services, ensuring compliance with insurance requirements, and facilitating seamless patient care. This role will collaborate with healthcare providers, insurance companies, and internal teams to streamline the authorization process and enhance the overall efficiency of services.

This role...

Initiates and completes the authorization process for medical services; responds within pre-established timeline for requests for information or supporting documentation.

Verifies patient insurance coverage and determine the specific authorization requirements for each case.

Handles complex medical service authorization requests, requiring a deeper understanding of medical procedures and insurance policies.

Assesses and determines the specific authorization requirements for specialized cases.

Obtains accurate and detailed information to investigate all payment sources, documents and/or files information appropriately.

Collaborates with insurance companies to obtain and confirm authorization details.

Maintains accurate and organized records of all authorization requests and approvals.

Verifies eligibility monthly or as needed with all insurance carriers.

Conducts regular audits to identify areas for improvement and ensure compliance with standards.

Develops stronger relationships with insurance companies and internal teams to facilitate the authorization process.

Identifies and address any issues or discrepancies in the authorization process promptly.

Collaborates with internal teams to resolve authorization-related challenges and ensure timely resolution.

Participate in other projects or duties as assigned.

We are excited to speak with individuals with the following...

High School Diploma required.

One (1) plus years of experience in insurance, billing, book-keeping, claims processing, or related field.

Experience in medical environment a plus.

Or equivalent combination of education and/or experience.

Strong attention to minute details and accuracy of a project or task.

Strong problem-solving and critical-thinking skills.

Excellent verbal and written communications skills.

Strong organizational abilities.

Demonstrated ability to follow the systematic method of performing a task.

Demonstrated ability to utilize the available time to organize and complete work within given deadlines.

Proficient with Microsoft Office, specifically Excel.

Salary: $16.36 - 22.09 hourly

Modivcare’s positions are posted and open for applications for a minimum of 5 days. Positions may be posted for a maximum of 45 days dependent on the type of role, the number of roles, and the number of applications received. We encourage our prospective candidates to submit their application(s) expediently so as not to miss out on our opportunities. We frequently post new opportunities and encourage prospective candidates to check back often for new postings.

We value our team members and realize the importance of benefits for you and your family.

Modivcare offers a comprehensive benefits package to include the following:

Medical, Dental, and Vision insurance

Employer Paid Basic Life Insurance and ADD

Voluntary Life Insurance (Employee/Spouse/Child)

Health Care and Dependent Care Flexible Spending Accounts

Pre-Tax and Post --Tax Commuter and Parking Benefits

401(k) Retirement Savings Plan with Company Match

Paid Time Off

Paid Parental Leave

Short-Term and Long-Term Disability

Tuition Reimbursement

Employee Discounts (retail, hotel, food, restaurants, car rental and much more!)

Modivcare is an Equal Opportunity Employer.

EEO is The Law - click here for more information

Equal Opportunity Employer Minorities/Women/Protected Veterans/Disabled

We consider all applicants for employment without regard to race, color, religion, sex, sexual orientation, national origin, age, handicap or disability, or status as a Vietnam-era or special disabled veteran in accordance with federal law. If you need assistance, please reach out to us at [email protected]

Due to system issues, if you are unable to search for your application, please reach out to the Talent Acquisition team via email at [email protected] and a member of the Talent Acquisition team will reach out to you within the next 48 business hours. We appreciate your interest in joining Modivcare!

Our goal isn’t a number. It’s a difference.

Modivcare is leading the transformation to better connect people with care, wherever they are. We serve the most underserved by facilitating non-emergency medical transportation and personal and home care to enable greater access to care, reduce costs and improve outcomes.

Please note, Modivcare will never ask any potential applicant for employment for any Personal Identifiable Information via social media. Additionally, Modivcare will never ask any applicant for money. Please be cautious of any individual posing as a recruiter for Modivcare requesting personal identifiable information. If you suspect someone is attempting to collect your personal information or solicits money from you via any social media platform, we encourage you to report such scammers to that platform.

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