Insurance Verification and Precertification Claims Coordinator

Center for Vein Restoration•Greenbelt, MD

2d•$17 - $24

About The Position

At Center for Vein Restoration (CVR), our mission is simple but powerful: to improve lives every day. Every patient we care for inspires us to do more, give more, and be more for them and each other. As the nation’s premier physician-led vein center, we combine cutting-edge, outpatient vascular treatments with compassion, integrity, and trust to make a meaningful difference in the communities we serve. The Insurance Verification and Precertification Claims Coordinator is responsible for verifying and processing authorizations prior to claim submission and for denied claim tasks. The coordinator will be cross-trained in multiple facets of the department to include, but not limited to, processing insurance verification and preauthorization requests, and medical records requests for patients.

Requirements

Excellent customer service skills.
Must be an effective communicator.
Dedicated to follow-through and results.
Detail-oriented.
Flexibility as it relates to schedule, responsibilities and priorities.
Strong organizational skills.
The ability to work independently and as a member of a team.
Minimum of 2 years in administrative experience in a medical office.

Nice To Haves

Associates Degree preferred.

Responsibilities

Submit preauthorization requests and date of service change requests to insurance companies.
Follow-up with insurance companies to secure the authorizations approvals for treatment.
Secure approvals or denials, ensure information is documented in patient’s chart and notify centers of the outcome.
Review Authorizations for claims prior to claim submission and claim denials for authorization.
Verify patient eligibility and benefits information from the insurance listed in the patient chart.
Update proper patient demographics and insurance information.
Handle patient’s sensitive information in compliance with HIPAA regulations.
Process medical records request for referring physicians and patients.
Run daily reports corresponding with patient data.
Respond to questions from insurance companies and patients.
Will be cross trained to handle all functions of benefits, precertification and medical records requests.
Other projects as assigned by management.