Insurance Verification Coordinator

Patient Registration Coordinator I

The Patient Registration Coordinator I is the first point of contact for greeting, registering, and scheduling patients in a healthcare setting. This position manages the financial health of the facility by collecting patient responsibility, accurately verifying insurance, and collecting balances. This position requires a warm and compassionate personality who enjoys working with a diverse patient population and is dedicated to patient success.

Essential Functions:

• Obtain and validate insurance coverage and benefit details for new patients, plan updates, and changes in patient ID numbers to ensure compliance with payer requirements.
• Perform weekly and annual eligibility checks to verify active coverage status, including plan type and primary/secondary insurance designation.
• Communicate patient financial obligations, including deductibles, co-insurance, copay, and out-of-pocket costs, to help patients understand their financial responsibilities.
• Process patient payments in systems, maintain financial contracts, and update overdue balances to manage outstanding patient responsibilities.
• Act as the primary contact to facilitate effective communication with patients and address any issues regarding benefits, authorizations, and patient financial responsibilities.
• Assist patients with grant applications by helping patients complete grant-related forms, perform coverage checks in Waystar, and enter and manage patient information in grant portals as needed.
• Schedule patient appointments and arrange transportation for patients with insurance-covered or grant-supported travel needs.
• Review daily and monthly reports to identify and correct missing or incorrect system information, reducing errors and ensuring claim accuracy.
• Ensure submission of clean claims and reduction in payer denials by adhering to both organizational and departmental policy and procedures.
• Perform special projects and other duties as needed. Assist with special projects by utilizing Excel/Google spreadsheets and communicate results.
• Use, protect and disclose patients' protected health information (PHI) only in accordance with Health Insurance Portability and Accountability Act (HIPAA) standards.
• Other Duties as Assigned.

Supervisory Responsibilities: None.

Essential Qualifications:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. Job or State Requirements High School Diploma/GED, minimum 1 year Insurance Verification is a must, experience in healthcare office ideal.