Insurance Coordinator

About This Role

Provide counseling to patients and their families regarding covered services and financial responsibility. This role involves financial counseling review, interdepartmental communication, staff education, and policy development while adhering to established standards and practices.

Responsibilities

• Welcome patients and answer phones in a friendly, positive, and professional manner while providing superior customer service
• Analyze and maintain reports to ensure timely submission of claims and identify problem accounts requiring further work
• Serve as the "expert" in support of general insurance verification/coverage functions
• Monitor and obtain financial information and authorizations to ensure appropriate coverage for transplant and supportive care treatments
• Communicate medical conditions and treatment plans to carriers and suppliers to determine coverage
• Educate patients, families, staff, and physicians regarding reimbursement issues
• File clinical reports in medical records and conduct monthly performance audits for completeness and optimal financial clearance
• Process insurance referrals and insurance verifications for patient services
• Review explanations of benefits for payment accuracy, denials, and appeals
• Support front desk operations in all aspects of patient registration

Requirements

• High School Diploma/GED
• 1 year of computerized physician billing experience
• 1 year of experience within a healthcare setting
• Ability to interact effectively with patients, peers, and professional colleagues
• Ability to work independently with precision and accuracy
• Ability to transcribe dictated physician notes for correspondence and patient medical records with high level of accuracy
• Ability to prioritize workload and complete assignments in a timely manner
• Familiarity with all aspects of coding
• Excellent customer service, communication skills, and ability to handle stressful situations
• Knowledge of insurance carrier, Medicare, Medicaid, and Managed Care regulations

Qualifications

• High School Diploma/GED
• 1 year of computerized physician billing and 1 year within a healthcare setting

Nice to Have

• Associate's Degree
• Familiarity with all aspects of coding including ICD-9, CPT, and HCPC's

Skills

* Required skills