Insurance Verification Specialist

Description

Job Title: Benefit Coordinator 

FLSA/Status: Non-Exempt

Dept. Name: Billing/Rev Cycle

Location:

REMOTE

Position Summary:

The Benefit Coordinator is responsible for demonstrating knowledge and application of job duties within scope of practice and functions under the direction of his/her manager(s) and/or Director(s); respectfully interacts with all levels of staff; provides assistance, as needed, during assigned duty hours; participates in department activities; promotes independence; adherence to the attendance policy; encourages socialization; advocates for the quality of life of our patients while maintaining compliance with all applicable laws, regulatory and organizational standards; supports the company’s core values.

Essential Job Functions:

• Gathers and maintains coordination of patient benefit data in conjunction with patient appointments.
• Research, analyze and evaluates payer status and determines coverage details.
• Communicate with offices across several States to ensure patients who are scheduled to be seen have their information loaded correctly. 
• Determine estimated patient cost for services if requested.
• Conduct/Obtain prior authorization/referrals for patients as needed.
• Take patient calls to resolve balances and billing customer service issues.

Requirements

Competencies/Skills

Effective communication skills to include: 

1. Ability to fluently speak and read English 
2. Ability to read and interpret documents such as safety rules, handbooks, policies, and manuals 
3. Ability to communicate effectively, verbally and written, with all levels of staff and patients

Education & Requirements: 

                       Minimum 2 years’ experience in a healthcare setting. 

                      Experience working with insurance verification and authorization requirements.

                      Comprehensive knowledge of patient insurance process for obtaining authorizations and benefits verification.

                      Understanding of Revenue Cycle including admission, billing, payments and denials.

        Knowledge of medical terminology or CPT or procedure codes.

EEOC Compliance

Family Allergy & Asthma provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws. 

This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation and training.