Insurance Verification Coordinator I
Posted 2 weeks ago by 1755323597
Negotiable
Outside
Remote
USA
Summary: The Insurance Verification Coordinator I is a contract position requiring expertise in insurance verification and prior authorization appeals. This role involves direct communication with patients, healthcare providers, and insurance companies to ensure accurate insurance eligibility and documentation. The position is remote and offers long-term potential within the healthcare industry.
Key Responsibilities:
- Shifts: 8 AM - 5 PM (Mon-Fri)
- Insurance verification for medication; prior authorization appeals; speak to patients, doctors' offices, & insurance plans.
- Inbound internal queue.
- Obtain and verify insurance eligibility for services provided and document complete information in the system.
- Perform prior authorizations 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 patients' 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.
Key Skills:
- Managed Care, Customer Service and Call Center experience is required.
- Authorization and Insurance experience is required.
- High school diploma with 1+ years of medical billing or insurance verification experience.
- Experience with payors and prior authorization preferred.
Salary (Rate): undetermined
City: undetermined
Country: USA
Working Arrangements: remote
IR35 Status: outside IR35
Seniority Level: undetermined
Industry: Healthcare
Immediate need for a talented Insurance Verification Coordinator I. This is a 03+months contract opportunity with long-term potential and is located in US(Remote). Please review the job description below and contact me ASAP if you are interested.
Job ID: 25-82098
Pay Range: $16 - $17/hour. Employee benefits include, but are not limited to, health insurance (medical, dental, vision), 401(k) plan, and paid sick leave (depending on work location).
Key Responsibilities:
- Shifts: 8 AM 5 PM (Mon-Fri)
- Insurance verification for medication; prior authorization appeals; speak to patients, doctors offices, & insurance plans.
- Inbound internal que.
- Obtain and verify insurance eligibility for services provided and document complete information in system
- Perform prior authorizations 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.
Key Requirements and Technology Experience:
- Key Skills;Managed Care, Customer Service and Call Center experience is required.
- Authorization and Insurance experience is required.
- High school diploma with 1+ years of medical billing or insurance verification experience.
- Experience with payors and prior authorization preferred.
Our client is a leading Healthcare Industry and we are currently interviewing to fill this and other similar contract positions. If you are interested in this position, please apply online for immediate consideration.
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