Insurance Coordinator

Demant

39d•$19 - $22

About The Position

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.

Requirements

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
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

Nice To Haves

Experience with Worker’s Compensation preferred
Prior knowledge of workers compensation and DOL a plus

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.