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. Apply tot his job Apply To this Job