INSURANCE VERIFICATION COORDINATOR I

About the position

The Insurance Verification Coordinator I is responsible for obtaining and verifying complete insurance information, including managing the prior authorization process, copay assistance, and coordination of benefits. This role is essential in ensuring that patients' insurance eligibility is confirmed and documented accurately, facilitating smooth billing processes and effective communication with patients and healthcare providers.

Responsibilities
? Obtain and verify insurance eligibility for services provided and document complete information in system
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? Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
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? Collect any clinical information such as lab values, diagnosis codes, etc.
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? Determine patients financial responsibilities as stated by insurance
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? Configure coordination of benefits information on every referral
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? Ensure assignment of benefits are obtained and on file for Medicare claims
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? Bill insurance companies for therapies provided
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? Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
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? Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
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? Handle inbound calls from patients, physician offices, and/or insurance companies
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? Resolve claim rejections for eligibility, coverage, and other issues

Requirements
? High school diploma with 1+ years of medical billing or insurance verification experience
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? Bachelor's degree in related field can substitute for experience
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? Experience with payors and prior authorization preferred
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? Strong customer service skills

Nice-to-haves

Benefits
? Major medical
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? HSA
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? Dental
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? Vision
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? Employer-provided group life
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? Voluntary life insurance
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? Short-term disability
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? Long-term disability
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? 401k

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