Insurance Verification Coordinator I

Position Title: Insurance Verification Coordinator I

Work Location: Remote - US (must work EST training & production schedules)

Assignment Duration: 3 months (possibility to extend or convert)

Work Schedule: Mon-Fri. Training: 9am-6pm EST for 6 weeks. Ongoing work schedule: 12pm-9pm EST

Work Arrangement: Remote

Position Summary:

• Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits

Key Responsibilities:

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

Qualification & Experience:

• High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor's degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills.
• Proficient in Microsoft Office
• Experience/backgrounds that do well: Managed Care, Pharmacy, Medical terminology, Physician office experience, Customer Service, Call Center

Candidate Requirements

Education/Certification
Required: High school diploma
Preferred: NA

Licensure
Required: NA
Preferred:

Years of experience required: 1 + years of experience

Disqualifiers: NA

Additional qualities to look for: Proficient in Microsoft Office, experience/backgrounds that do well in this role- Managed Care, Pharmacy, Medical terminology, Physician office experience, Customer Service, Call Center

• Top 3 must-have hard skills stack-ranked by importance

1
Managed Care

2
Customer Service

3
Call Center