Medical Insurance Specialist Supervisor

Omega Healthcare is hiring a Medical Insurance Follow-up Supervisor in a facility or hospital setting . This is a remote opportunity for full-time and MUST have at least 2 years or more of experience. Starting the scheduling today.

Please answer the screening questions in order to be considered for this opportunity:

CREDENTIALED INDIVIDUALS WILL NOT BE CONSIDERED

MUST HAVE:
Athena PM System Experience
They should know how to call BC/BS and Cigna as well as other payors to resolve claims.

1. How many years of hands-on appeals experience do you have, including all the investigation required to determine if an appeal is necessary?

2. Explain your active experience in the past two years with – AR, follow up, appeals, underpayments, payor knowledge, research accounts, medical terminology.

a. Does your resume reflect these skillset requirements within the last 2 years? (If not please update your resume to reflect this experience)

3. Can you provide an example of your experience with appealing denials? And resubmitting corrected claims? Underpayments?

4. Can you provide an example of a denied claim that you appealed? What steps did you take? (Please provide as much detail as possible)

5. Tell me about your experience in calling insurance companies daily checking status of past due claims?

6. Tell me about your experience with using websites to check the status of multiple claims with the payors?

7. Tell me about your experience with reading an explanation of benefits?

8. Can you explain what the explanation of benefits provides?

9. Tell me about your experience with understanding medical terminology? Give examples.

10. Validate that you do not have any PTO scheduled during the first 90 days of the project.

11. Tell me about your experience in dealing with Medicare Managed Care and Medicaid Managed Care.

12. What MCO payers are you familiar with?

13. How successful have you been in collecting aged AR?

14. What is your experience what hospital /institutional claims

15. What is your backend (AR/Denials) experience working in Athena and how many years?

16. Do you have any experience in managing employees and auditing work?

17. Have you ever had to discipline an employee?

Must have Athena PM System Experience and They should know how to call BC/BS and Cigna as well as other payors to resolve claims

Why Choose Omega Healthcare

Omega Healthcare has the largest medical coding staff in the world, deep healthcare expertise, and unmatched proprietary capabilities. Omega Healthcare offers a full benefits package, life insurance, pet insurance, CEUS, PTO, 401-K match, employee discounts, supportive managers, all remote opportunities and more!

Respect for the Individual

We treat people with dignity and the highest level of respect.

Transparency

We encourage all Omega Healthcare team members to express their views openly and honestly.

Equal opportunity for all

We value diversity and provide equal opportunity for employment, learning, and growth within the organization.

Collaboration

We encourage a participatory workplace by promoting team spirit and celebrating team accomplishments.

Job Type: Full-time

Pay: $27.00 per hour

Benefits:

• Flexible schedule
• Flexible spending account
• Work from home

Schedule:

• Monday to Friday

Experience:

• Insurance verification: 2 years (Required)
• Hospital setting: 2 years (Required)
• Benefits: 2 years (Required)
• Athena PM system: 2 years (Required)
• BC/BS: 2 years (Required)
• Cigna: 2 years (Required)

Work Location: Remote