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Administrative Support Specialist
1 month ago
About us
Quadris Team, LLC - A Revenue Cycle Management Group, is searching for that dynamic person to join us, working with our highly skilled Medical Coding Team to fill the role of Authorization Specialist. We are a 100% remote team supporting our clients across the United States
Job Focus
Responsible for obtaining prior authorizations for facility services based on assigned specialty or clinic area. This position will secure the prior authorization and notify the rendering party in the timeliest manner possible so patients can receive necessary care and services with the least delay.
Responsible for answering patient calls, providing outgoing patient communication regarding financial obligations and authorization status. Responsible for patient estimation, benefit education, and payment processing.
The individual job focus may include all or only a portion of this job description, as defined by the Patient Financial Services Manager
Primary/Essential Expectations For Success:
- Accurately, efficiently and timely work prior authorization requests-referrals
- Receive request for prior authorizations through the electronic health record (EHR) and/or via phone, email or fax and ensure that they are properly and closely tracked and monitored
- Process referrals and submit medical records to insurance carriers to expedite prior authorization processes
- Manage correspondence with insurance companies, physicians, specialist and patients as needed, including documenting in the EHR as appropriate
- Assist with medical necessity documentation to expedite approvals and ensure that appropriate follow-up is performed
- Review accuracy and completeness of information requested and ensure that all supporting documents are present
- Review denials and follow up with provider to obtain medically necessary information to submit an appeal of the denial
- Prioritize the incoming authorizations by level of urgency and date of service
- Secure patient information in accordance with Quadris Client policy/procedures
- Other duties as assigned
- Monitors WQs, and resolves accounts in a timely manner
- Stay up to date on insurance company policies and procedures related to prior authorizations
Physical Environment:
- Prolonged periods of sitting at a desk and working on a computer
- Must be able to lift 15 pounds at one time
- Must be able to structure your home office to ensure patient information is secure meeting the regulatory expectations
Skills Needed to Be Successful:
- Maintains compliance with regulations and laws applicable to job
- Ability to communicate clearly and concisely, both in writing and verbally
- Professional level of communication with video, phone, and email
- Utilizes a variety of strategies or approaches to communicate effectively with others
- Ability to explain and manage priorities efficiently to meet deadlines and productivity
- Produce with exceptional overall quality of tasks performed is a must
- Perform effectively with strong emphasis on multi-tasking in a fast-paced
- Organize and manage workload to meet expectations
Core Talent Essentials:
- High School diploma or equivalent
- Minimum 2 years of experience with the referral/authorization process and interacting with insurance carriers
- Ability to work independently and within a team atmosphere.
- Self-motivated and passionate about our mission and values of quality work
- Must have professional level skills in MS products such as Excel, Word, Power Point
- Must be able to type proficiently and with an effective pace
- Advanced application of business/office standard processes and technical applications
About the role:
Collective is looking for a Business Development Representative to own the strategy and execution of end-to-end outreach to prospective members through email, SMS, cold-calling, etc. This role will partner closely with our Sales and Marketing teams to help drive our growth forward. With only 3 people focused on these efforts, this individual would help define the strategy and scale the team and efforts.
Note: This is a full-time, salary and commission-based role.
- Responsibilities:
- Lead generation of inbound and outbound sales efforts to develop a sales pipeline. Develop relationships, become a self-employed business expert, and ultimately bring in new members.
- Calls with self-employed entrepreneurs where you'll articulate Collective's unique value proposition in relation to that customer.
- Problem solve: provide feedback and recommendations that improve our products, services and position in the competitive marketplace.
- Member experience – ensure all prospective Members are provided with the service of a 24-hour response time as well as creating strategies to surprise and delight throughout the outbound process.
- Partner with the Marketing team on GTM strategies, vertical strategy, and provide insight from your daily conversations with prospective members.
- Perform other essential duties as assigned.
What we want you to bring:
- A testing mentality and desire to hustle and move quickly – you love challenges and want to learn and grow
- Exceptional customer service, meeting/phone presence, writing, and time management skills.
- Desire to learn sales pipeline management, and generally love for a sales organization in a tech business.
- Experience working a pipeline across multiple touchpoints leveraging, A/B testing, etc. (Salesforce and HVS experience strongly preferred)
- Proficiency with G-Suite, Excel and other relevant software technologies.
- Coachable, self-motivated, curious and resilient, with a "get the job done" demeanor.
- Professional, efficient communication (verbal, written, and presentation) and interpersonal skills (positive and personable).
Why work with us:
- Collective is the first online back office platform designed for Businesses-of-One.
- Tax is a very challenging space and you will grow fast.
- We were backed by top tier VCs.
- We promote open and transparent culture within the company.
- We're fast-paced and you learn every day.
What we offer in return:
Compensation Range: $55,000 annual base + commission
The salary ranges for the roles are posted for your convenience and review. Please understand that if an offer is presented, the offer compensation package will be based on the relevant position related skills a candidate demonstrates during our formal interview process.
- Location: San Francisco, CA (Hybrid), Los Angeles, CA (Remote), or Remote (US)
- A diverse and collaborative team culture
- Stock options package
- 14 company holidays + unlimited PTO
- 401K
- Employer paid Health, Vision and Dental Insurance
- 100% coverage for employees
- 75% coverage for dependents
- PC or Mac laptop + $750 Home office stipend
- Generous paid parental leave
- Fertility benefits, up to $8k
- Team events and virtual gatherings
- $600 wellness bonus
Equal Employment Opportunity
At Collective, we don't just accept differences — we celebrate them, we support them, and we thrive on them for the benefit of our employees, our customers, and our community. We are committed to building a team that represents a variety of backgrounds, perspectives, and skills. If you're good at what you do, come as you are. The more inclusive we are, the better our work will be. Collective is proud to be an equal opportunity workplace.
