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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 authorisation process, copay assistance and coordination of benefits.
Key Responsibilities:
• Obtain and verify insurance eligibility for services provided and document complete information in the system
• Perform prior authorisations 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:
| 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 | ||||
| 1 | Managed Care | ||
| 2 | Customer Service | |||
| 3 | Call Center | |||