Insurance Verification Coordinator I

Position Title: Insurance Verification Coordinator I

Work Location: Remote

Assignment Duration: 3 months (Possibility to extend or convert)

Work Schedule: 12-9 EST

Work Arrangement: Remote

Position Summary:

Obtain and verify complete insurance information, including the prior authorisation process, copay assistance and coordination of benefits.

Key Responsibilities:

* Obtain and verify insurance eligibility for services provided and document complete information in the system

* Perform prior authorisations 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

Qualification & Experience: