Position Summary: Seeking a detail-oriented and experienced insurance verification specialist and referral coordinator to join the team. This role is critical in ensuring that patient insurance details are accurate and up to date, and that all necessary referrals and authorizations are obtained efficiently.
Key Responsibilities:
- Verify patient insurance coverage and benefits eligibility.
- Interact with patients, healthcare providers, and insurance companies to obtain necessary information.
- Update insurance and patient information in the system as necessary.
- Prepare and submit insurance claims.
- Follow up on issues related to insurance verification and claim submission.
- Resolve patient billing and insurance inquiries and disputes.
- Obtain necessary referrals for office visits and required authorizations or pre-certifications for procedures.
- Coordinate with medical staff to ensure all necessary documentation for insurance verification and referrals is available.
- Communicate with patients regarding their insurance coverage, benefits, and any required referrals.
- Maintain accurate records of all interactions and documentation for reporting and audits.
- Ensure compliance with privacy and confidentiality rules and regulations.
- Maintain a high level of customer service and professionalism in all interactions.
- Perform other duties as assigned by management.
Requirements & Qualifications
- 2 to 5 years of experience in insurance verification and referral coordination.
- Strong understanding of insurance policies, procedures, and medical terminology.
- Excellent communication and interpersonal skills.
- Proficiency in electronic medical records (EMR) systems and insurance company websites.
- Ability to work independently and as part of a team.
- Strong organizational skills and attention to detail.
Location
Dallas, Texas, US
Employment Type
Not specified
Experience Level
Intermediate Level
Remote work allowed
No
Posted
4 weeks ago