Insurance Verification Coordinator I at Spectraforce Technologies
Job Description
Position Title: Insurance Verification Coordinator I
Work Location: Remote
Assignment Duration: 3 Months (Possibility to extend or convert)
Work Schedule: 12-9 EST
Work Arrangement: Remote
Position Summary: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits
Background & Context:
project ascend
Key Responsibilities:
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
Qualification & Experience:
Education/Certification: Required: High school diploma
Education/Certification: Preferred: NA
Licensure: Required: NA
Licensure: Preferred:
Years of experience required: 1 + years of experience
Disqualifiers: NA
Additional qualities to look for: Proficient in Microsoft 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
Resume Suggestions
Highlight relevant experience and skills that match the job requirements to demonstrate your qualifications.
Quantify your achievements with specific metrics and results whenever possible to show impact.
Emphasize your proficiency in relevant technologies and tools mentioned in the job description.
Showcase your communication and collaboration skills through examples of successful projects and teamwork.