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 authorization process, copay assistance and coordination of benefits

Background & Context :

project ascend

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 :

Education / Certification : Required : High school diploma

Education / Certification : Preferred : NA

Licensure : Required : NA

Licensure : Preferred :

Years of experience required : 1 + years of experience

Disqualifiers : NA

Additional qualities to look for : Proficient in Microsoft Office, experience / backgrounds that do well in this role- Managed Care, Pharmacy, Medical terminology, Physician office experience, Customer Service, Call Center

Top 3 must-have hard skills stack-ranked by importance

1 Managed Care

2 Customer Service

3 Call Center

Position is offered by a no fee agency.