Insurance Verification Coordinator I

Position Title: Insurance Verification Coordinator I

Work Location: Remote - US

Assignment Duration: 3 months

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