At Adonis, we are building a medical billing engine that automates billing workflows and improves reimbursement rates for medical providers. Billing and insurance related activities represent nearly $1 in every $7 collected by medical providers - and the high costs of collecting payments, as well as and other costs that stem from the administrative challenges within the space, unfortunately get passed down to the consumer. This is why healthcare costs continue to rise, with no end to that in sight. We’re set on helping to mitigate these challenges.

Prior Authorization Specialist

Remote

At Adonis, we are building a medical billing engine that automates billing workflows and improves reimbursement rates for medical providers. Billing and insurance related activities represent nearly $1 in every $7 collected by medical providers - and the high costs of collecting payments, as well as and other costs that stem from the administrative challenges within the space, unfortunately get passed down to the consumer. This is why healthcare costs continue to rise, with no end to that in sight. We’re set on helping to mitigate these challenges.

At Adonis, we offer multiple solutions to assist medical providers in navigating the complexities of healthcare billing and receipt of payment for service. Billing and insurance related activities represent nearly $1 in every $7 collected by medical providers - and the high costs of collecting payments, as well as and other costs that stem from the administrative challenges within the space, unfortunately get passed down to the consumer. This is why healthcare costs continue to rise, with no end to that in sight. We’re set on helping to mitigate these challenges.While we are building a medical billing engine that automates billing workflows and improves reimbursement rates for medical providers, we at Adonis feel that there is always an aspect of healthcare billing that requires a human touch.

We Are Looking For Prior Authorization Specialists With 1 Year Of Experience In a Healthcare Environment. Including But Not Limited To Pharmacy, Mental Health, Hospital, Dermatology, Surgical, Orthopaedics, And Primary Care. To Perform The Following Functions For Our Clients

• Answer patient questions related to insurance claims.
• Verification of patient eligibility for services.
• Resolution of prior authorization denials.
  
  

The ideal candidate for this role would have the following experience and background:

• 1 year of administrative or healthcare billing experience preferred
• Experience working in a remote environment is required
• Must reside in the US and not require sponsorship
  
  

The ideal candidate for this role possessed the following qualities:

• Has a technology first mindset and is committed to making processes more efficient and automated when possible.
• Requires good judgment, tact, diplomacy, and ability to problem solve.
• Excellent communication skills and the ability to practice proper phone and email etiquette, and is skilled in answering a telephone in a pleasant and helpful manner.
• Able to use a personal computer and related software.
• Answers questions from customers, clerical staff, and insurance companies.
• Ideally familiar with medical terminology and insurances HCPC/ICD-10 codes,
• Documents activities in the Adonis system in an efficient, accurate, and timely manner.
• Provides feedback to the supervisor regarding issues regarding accounts.
• Conducts routine tasks as directed; works under clearly defined guidelines to achieve clearly defined metrics.
• Contributes to specific objectives and outcomes as directed.