BusinessOperations - Insurance Verification Coordinator I - 590069

BusinessOperations - Insurance Verification Coordinator I - 590069#26-04395

Remote-FL, FL

Fully Remote

Job Description

Position Purpose:

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

Education/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.

Foundation Care Only: Missouri Registered Pharmacy Technician is preferred, but not required

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

Performs other duties as assigned

Complies with all policies and standards

EEO:

Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans.

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