Overview

Are you a detail-oriented professional with a background in US medical billing ready to elevate your career from the comfort of your home? Join our team as an Authorization Representative I, where you will master the timely submission, follow-up, and approval of authorization requests to ensure seamless care for our accounts. We are looking for a proactive, curious, and results-driven team player eager to achieve excellence and deliver top-tier service.

Schedule

• Monday to Thursday: 8:45 AM to 5:00 PM New York Time (8:45 PM – 5:00 AM Manila Time)
• Friday: 8:45 AM to 3:45 PM New York Time (8:45 PM – 3:45 AM Manila Time)

Responsibilities

• Shows ability to grasp concepts and processes during training to gain the skills necessary to be proficient.
• Seek knowledge through curiosity and self-training in payer portals.
• Monitor Auth requests within our set 24 hour turnaround time.
• Perform Authorization requests with accuracy and efficiency.
• Ensure compliance with client preferences and payer rules.
• Prepare and submit Auths that result in Approvals (denials should be an exception).
• Respond to all inquiries within our set 24 hour turnaround time.
• Be accessible to Accounts and team members during normal work hours.
• Maintain accurate records and update client systems with authorization details promptly.
• Track and follow up on unapproved authorizations timely.
• Identify and address expiring authorizations to prevent disruptions in care.
• Assist with special projects, problem-solving, and process improvements.
• Escalate to Auth rep II immediately any requests you cannot or are not authorized to resolve.
• Participate in weekly meetings with Account teams and Coordinators
• Complete reports as required.
• With your Account Coordinator, create and maintain Rocks.
• Follow team processes at all times.

Requirements

• 2-year college degree
• 2-year experience in US-based medical billing practice or 2-year experience in a medical practice dealing with billing including but not limited to, provider credentialing, authorizations, reimbursement, etc. preferably in Behavioral Health to some degree
• Must have backup power supply (extra laptop/power bank/generator/UPS)
• Detail orientated with above-average organizational skill
• Able to plan and prioritize to meet deadlines
• Excellent verbal and written communication
• Communicates clearly and effectively
• Excellent reading comprehension
• Excellent computer skills, including Microsoft programs such as Excel, Word
• Thorough understanding of navigating the internet.
• Background check will be conducted after the onboarding

Independent Contractor Perks

• Permanent work from home
• Immediate hiring
• Health Insurance for eligible locations

Note

Please click the "Apply" button to complete your application, including the assessment questions, technical check, and voice recording. Your hourly pay rate will be established based on your performance in the application process; submissions with all requirements fulfilled will receive priority review.