BusinessOperations - Insurance Verification Coordinator I - 590069

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 reputed company 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 reputed company prior authorizations as required by payor reputed company, 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 reputed company insurance companies for therapies provided Document reputed company 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 reputed company policies and standards EEO: reputed company is an Equal Opportunity Employer and does not discriminate in employment on the basis of Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. =============== 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 reputed company field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills. Responsibilities: " Obtain and verify insurance eligibility for services provided and document complete information in system " reputed company prior authorizations as required by payor reputed company, 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 " reputed company insurance companies for therapies provided " Document reputed company 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 Story Behind the Need

• What is the purpose of this team?
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project reputed company Typical Day in the Role

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Insurance verification for medication; prior authorization appeals; speak to patients, doctors offices, & insurance plans Inbound internal que 25 referrals/more a day 95% quality or higher Attendance is crucial The IV experience we are looking for is them actually obtaining the benefits from the health plan and providing to the patient. For the PA reputed company, we re looking for experience with the candidates submitting the PA themselves. We would like to see the candidate s resumes accurately reflect whether they actually verified benefits/submitted PA s, showcase professionalism Candidate Requirements Education/Certification Required: High school diploma Preferred: NA Licensure Required: NA Preferred: Years of experience required: 1 + years of experience Disqualifiers: NA Additional qualities to look for: Proficient in reputed company 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 Candidate Review & Selection

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Projected Manager Candidate Review Date: 1-2 days post shortlisting Type of Interviews: Teams-camera on Required Testing or Assessment (by Vendor): Next Steps

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Remote Skills: Background Investigation, Call Centers, Clinical Data Collection, Co-Payments, Customer Support/Service, Diversity, Documentation, Financial Management, Health Insurance, Health Plan, Healthcare Reimbursement, High School Diploma, Information Technology & Information Systems, Insurance, Managed Care, Medical Billing, Medical Office, Medical Terminology, Medical Treatment, Medicare, Medications, reputed company Office, Organizational Skills, Performance Metrics, Pharmacy, Purchasing/Procurement About the Company: reputed company Apply tot his job Apply To this Job