Insurance Coordinator

Insurance Coordinator

HearingLife is a national hearing care company and part of the Demant Group, a global leader in hearing healthcare built on a heritage of care, health, and innovation since 1904. HearingLife operates more than 600 hearing care centers across 42 states. We follow a scientific, results-oriented approach to hearing healthcare that is provided by highly skilled and caring professionals. Our vision is to help more people hear better through life-changing hearing health delivered by the best personalized care.

Reporting to the Financial Clearance Supervisor, the Insurance Coordinator is responsible for helping clinics and patients in the following areas: verifying insurance eligibility, obtaining comprehensive testing & device benefit information, obtaining prior & retro-authorizations, and assisting with claims creation. The Insurance Coordinator will communicate via phone, internet, and email with insurance carriers & clinics to ensure the timely and accurate delivery of verification related requests. The Insurance Coordinator will serve as a resource for the Insurance verification/authorization process for patients and clinicians in the regions assigned. The Insurance Coordinator will verify that all necessary information for the submission of authorizations is received from the clinics. The goal of the Insurance Coordinator it to streamline the patient financial journey by obtaining Authorization and Insurance Benefit information in an effort to provide financial transparency.

Responsibilities:

• Obtain insurance benefit information, verify insurance eligibility for services and/or devices and document verification information into our system(s).
• Obtain prior authorizations as required, including procurement of needed documentation by collaborating with the clinicians/clinics and insurance companies.
• Ensure all necessary documentation is uploaded into the system.
• Request and obtain Worker's Compensation approvals from various vendors when required.
• Acts as liaison between clinic staff and insurance companies to ensure that all inquiries are addressed and work directly with the clinics on all insurance related matters (Verification, Authorizations, Workers Compensation requests, etc.).
• Provide support to the clinics for any insurance related questions, including benefit interpretation.
• Will participate in partnership with the Supervisor in training clinic staff on insurance related matter in the assigned region.
• Provide outstanding customer service when handling inbound/outbound calls regarding eligibility or authorization.
• Ensures any coverage restrictions are documented and addressed to avoid denials.
• Acts as reference source for other team members and works to assist in resolving insurance issues/questions.
• Reviews the pending claims report and addresses any outstanding issues causing payment delays.
• Job description is not intended to include an inclusive list of responsibilities. Duties, responsibilities, and activities may change, or new ones may be assigned at any time with or without notice.

Qualifications:

• High School Diploma or GED
• 2+ years' experience with benefit verifications and insurance eligibility checks
• 1+ years' experience with requesting and obtaining authorizations with commercial and Medicaid insurance carriers
• 2+ experience working in medical office or Hospital setting
• Experience with Worker's Compensation preferred
• Basic medical coding knowledge, insurance guidelines and HIPAA
• Excellent customer services skills
• Detail oriented and organized
• Proficient with Microsoft Office, specifically, Word, Excel, Outlook & Teams
• Ability to multi-task and manage large number of requests within assigned time period
• Ability to work in a fast-paced environment
• Ability to process 50+ verifications a day
• Prior knowledge of workers compensation and DOL a plus
• Target pay: $19 - $22 hourly Work Hours would be aligned to Eastern Standard Time Benefits, 401K, Tuition Assistance program, and Paid Time Off package. We are an Equal Opportunity / Affirmative Action employer, all qualified applicants will receive consideration for employment without regard to race, color, religion, sexual orientation, sex, national origin, disability, or protected veteran status.