Position Title: Insurance Verification Coordinator I
Work Location: Remote
Assignment Duration: 3 Months (Possibility to extend or convert)
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
Background & Context:

• project ascend

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:

• Education/Certification: Required: High school diploma

• Education/Certification: Preferred: NA

• Licensure: Required: NA

• Licensure: 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 : Various, Various, Florida, United States, 99999 
 
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 starting pay is: $18.00/hr.