Health Plan Coordinator (Clinics)
About The Position
The Health Plan Coordinator is responsible for maintaining patient referral and authorization requirements as established by patient individual insurance plans. Is responsible for providing exceptional customer service, confirming patient health insurance coverage, and handling administrative tasks within a clinical setting. This role involves greeting patients, answering phones, scheduling appointments, updating and verifying insurance, and handling other office duties. The ideal candidate possesses strong organizational skills, attention to detail, and the ability to multitask in a fast-paced environment. Contributes to a positive work environment that promotes HMC values. Essential Functions Representative duties and responsibilities include, but are not limited to: Insurance and Financial Management: Verification and updating of insurance, process referrals and authorizations as indicated by individual insurance plans, assists patients with co pay and drug assistance programs, monitor coverage limits for services as necessary, collecting payments, stay informed on insurance updates. Medical Record Management : Obtaining medical records and authorizations, updating patient charts, and sending copies to relevant parties. Telephone Triage and Communication: Answering phone calls, triaging patient needs, relaying messages, and responding to inquiries. Administrative Tasks: Maintaining patient records, managing correspondence, processing insurance claims, opening clinic as needed, ordering supplies. Patient Check-in and Check-out: Greeting patients, gathering information, scheduling appointments, and addressing patient concerns.
Requirements
- Understanding of medical terminology, insurance authorization processes, healthcare and billing procedures and HIPAA regulations and confidentiality.
- Understanding of electronic Health Records and coding systems.
- Effective verbal and written communication, active listening and interpersonal skills.
- Time management, prioritization, attention to detail, and multitasking.
- Learning and becoming proficient in computer software, including EHR systems and scheduling software.
- Excellent customer service skills including patience, empathy and problem-solving.
- Learn and effectively use computer and software applications as needed to perform job duties.
- Maintain a professional appearance and demeanor.
- Learn and effectively use new technology/platforms in a timely manner.
- Work independently with moderate supervision.
- Collaborate effectively with healthcare team members.
- Adjust to changing priorities and work demands.
Responsibilities
- Maintaining patient referral and authorization requirements
- Providing exceptional customer service
- Confirming patient health insurance coverage
- Handling administrative tasks within a clinical setting
- Greeting patients
- Answering phones
- Scheduling appointments
- Updating and verifying insurance
- Handling other office duties
- Verification and updating of insurance
- Process referrals and authorizations as indicated by individual insurance plans
- Assists patients with co pay and drug assistance programs
- Monitor coverage limits for services as necessary
- Collecting payments
- Stay informed on insurance updates
- Obtaining medical records and authorizations
- Updating patient charts
- Sending copies to relevant parties
- Answering phone calls
- Triaging patient needs
- Relaying messages
- Responding to inquiries
- Maintaining patient records
- Managing correspondence
- Processing insurance claims
- Opening clinic as needed
- Ordering supplies
- Greeting patients
- Gathering information
- Scheduling appointments
- Addressing patient concerns
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
1,001-5,000 employees
