Insurance Verification Specialist and Referral Coordinator

Rheumatology Alliance LLC • Dallas, TX

2d

About The Position

We are seeking a detail-oriented and experienced Eligibility Insurance Verification Specialist and Referral Coordinator to join our team. The ideal candidate will have 2-5 years of experience in insurance verification and referral coordination within a healthcare setting. This role is critical in ensuring that patient insurance details are accurate and up-to-date, and that all necessary referrals and authorizations are obtained efficiently.

Requirements

• Minimum of 2-5 years of experience in insurance verification and referral coordination.
• Strong understanding of insurance policies, procedures, and medical terminology.
• Excellent communication and interpersonal skills.
• Proficiency in using electronic medical records (EMR) systems and insurance company websites.
• Ability to work independently and as part of a team.
• Strong organizational skills and attention to detail.

Responsibilities

• Verify patient insurance coverage and benefits eligibility.
• Interact with patients, healthcare providers, and insurance companies to obtain necessary information.
• Update insurance and patient information in the system as necessary.
• Prepare and submit insurance claims.
• Follow up on any issues related to insurance verification and claim submission.
• Resolve patient billing and insurance inquiries and disputes.
• Obtain necessary referrals for office visits and any required authorizations or pre-certifications for procedures.
• Coordinate with medical staff to ensure all necessary documentation for insurance verification and referrals is available.
• Communicate with patients regarding their insurance coverage, benefits, and any required referrals.
• Maintain accurate records of all interactions and documentation for reporting and audits.
• Ensure compliance with all privacy and confidentiality rules and regulations.
• Maintain a high level of customer service and professionalism in all interactions.
• Perform other duties as assigned by management.

What This Job Offers

• Career Level: Mid Level
• Education Level: No Education Listed