Insurance Verification Coordinator I

Title: Insurance Verification Coordinator I 
Duartion: 3 Months with possible extension/conversion
Work Arrangement: Remote

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
Insurance verification for medication; prior authorization appeals; speak to patients, doctors’ offices, & insurance plans
Inbound internal que
25 referrals/more a day
95% quality or higher
Attendance is crucial
 

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

Position is offered by a no fee agency. 
Location : Remote 
 
At SPECTRAFORCE, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with all applicable state and local laws.This position's pay range is $17.00/hr - $18.00/hr.