Lead Processing/Insurance Verification Agent - Fully Remote

Better Health is seeking a highly motivated and detailed oriented Lead Processing Agent to join our growing team. This role will play a pivotal role in receiving and processing priority referrals we receive from healthcare provider offices. The Lead Processing Agent will report to the Provider Success Lead and is a critical position to drive speed and service within our white-glove Provider Success team, who works directly with health systems and provider offices to manage referrals. The preferred applicant for this role will have experience in managing medical records, data entry, and have worked in a fast-paced environment.

The pay range for this role will be between $14-$18 an hour depending on candidate experience and qualifications.

This role will require working four hours one Saturday per month.

Who is Better Health?

Better Health is a new type of medical provider, helping people with chronic conditions live and age at home. How? By bundling peer support, education, and home delivery of medical supplies in an end-to-end digital care solution. We help our members discover and purchase the best medical equipment and supplies to address their underlying chronic conditions and receive the education and support they need to thrive at home.

Responsibilities:

This position is on a dynamic, fast-paced team within a startup, and as a result, additional duties may be assigned.
?? Manage inbound referrals. This is the role??s primary responsibility, and involves receiving faxes and referrals via email and web portals, and promptly entering referrals into our systems for team members to review and act upon.
?? Key activities include error-free data entry (demographics, insurance, condition information), prompt notification to Provider Success Coordinators upon receiving referrals, and medical record review
?? Complete insurance verification tickets. This role includes verification of insurance benefits and coverage for durable medical equipment (DME) via web portals and phone calls:
?? Submit and track pre-authorization requests with insurance providers.
?? Coordinate and monitor PCP requests as needed to facilitate timely patient care.
?? Promptly follow up on approvals or denials to minimize delays.
?? Resolve authorization issues??including appeals and re-submissions??to ensure uninterrupted care.
?? Confirm patient eligibility and benefits via online portals, calls, or faxes.
?? Review and verify insurance coverage details for accuracy.
?? Have excellent communication and task management skills. We operate quickly and this role requires someone who can quickly, kindly, and professionally communicate with patients, providers, and internal colleagues via instant messaging, email, and phone calls.

Qualifications
?? Prior experience in insurance verification required
?? Prior experience working in a medical office or a healthcare startup preferred
?? Prior experience in medical record management or collection preferred
?? Excellent communication skills (email, Slack, phone)
?? Proficient in Google Suite (Gmail, Google Sheets)
?? Teamwork/collaborative attitude is a must

Compensation and Benefits
?? $14 - $18 per hour
?? Fully remote work
?? PTO and health, vision, and dental insurance
?? Talented and fun coworkers who are passionate about improving our healthcare system
?? The opportunity to be part of a mission-driven company and make a difference in patients?? lives

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