Insurance Verification Coordinator I

Position Title: Insurance Verification Coordinator I

Work Location: Remote - US

Assignment Duration: 3 months

Work Schedule: Mon - Fri; Training schedule 9am-6pm EST for 6 weeks; Work schedule 12-9 EST

Work Arrangement: Remote

Position Summary:

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

Key Responsibilities:

* 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

Qualification & Experience:

* High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor's degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills.