Human Resources Supervisor

2 weeks ago

Riyadh, Ar Riyāḑ, Saudi Arabia 2P Perfect Presentation Full time
About our Client:

OpenLoop was co-founded by CEO, Jon Lensing, and COO, Christian Williams, with the vision to bring healing Their telehealth support solutions are thoughtfully designed to streamline and simplify go-to-market care delivery for companies offering meaningful virtual support to patients across an expansive array of specialties, in all 50

Job Summary:

OpenLoop is looking for a Prior Authorization Specialist to join their team This role will be a member of the Revenue Cycle Management Team, reporting to the RCM

Responsibilities:
  • Verify insurance coverage and eligibility
  • Interpret physician orders, medical terms and insurance details to process authorizations
  • Contact providers as necessary, gathering clinical information needed for insurance providers
  • Partner with Billing to accurately code services to ensure expedient approvals and payments
  • Obtain insurance authorizations via telephonic and online payer systems
  • Secure medical necessity checks in accordance with Medicare, Medicaid, and private payer guidelines
  • Partner with clinicians to complete patient registration, educating patients on financial liabilities - working cross functionally
  • Perform online data entry of routine authorizations and denials
  • Other admin duties as assigned

Requirements
  • 1+ years experience in a customer service role required
  • 1+ years of remote work experience required
  • Prior Authorization Specialist 2
  • 3 years of experience in a similar role preferred
  • With experience using JIRA Service Desk and Zendesk
  • Familiarity using various systems for eligibility checks such as Availity and Insomnia preferred
  • Ability to work in a fast paced environment and pivot as needs change
  • Knowledge of function and relationships within hospitals or medical offices preferred
  • Understanding of third party payor requirements preferred
  • Must be able to complete job duties while seated at desk for multiple hours
  • Must have Fiber Optic internet with at least 25 Mbps bandwidth
  • Must have a backup desktop or laptop with the latest OS
  • Must be able to work from 10PM-7AM
  • Must be amenable to working in-office 4x a week


Benefits
WHAT WE OFFER:

Great Place to Work-Certified Company
Premium HMO
Holistic employee experience
Work-from-home and hybrid work setup
Rewards and incentives
Monthly engagement activities
Career advancement opportunities
Paid referral program

1+ years experience in a customer service role required 1+ years of remote work experience required Prior Authorization Specialist 2 3 years of experience in a similar role preferred With experience using JIRA Service Desk and Zendesk Familiarity using various systems for eligibility checks such as Availity and Insomnia preferred Ability to work in a fast paced environment and pivot as needs change Knowledge of function and relationships within hospitals or medical offices preferred Understanding of third party payor requirements preferred Must be able to complete job duties while seated at desk for multiple hours Must have Fiber Optic internet with at least 25 Mbps bandwidth Must have a backup desktop or laptop with the latest OS Must be able to work from 10PM-7AM Must be amenable to working in-office 4x a week

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