Job Title: Insurance Authorization Coordinator
Department/Group: Finance & Administration
Location: Livermore, CA/Remote
Travel Required: No
Level/Salary Range: DOE
Position Type: Full-time
HR Contact: Tiya Jaison
Position Hours: 40 Hours/week M-F
Salary type Non-Exempt/ Hourly
ROLE AND RESPONSIBILITIES
Job Summary
The Insurance Benefits Coordinator is responsible for verification of eligibility, insurance benefits, authorizations, and precertification for patients from their insurer to provide services. The position is responsible for and maintains communication with all necessary providers, nurses, and office staff to ensure completion of all peer-to-peer review. denials and to resolve disputes. It requires a professional attitude as well as a strong desire to support individuals who are managing their health issues.
Job Responsibilities
• Acts as the primary point of contact for insurance companies via outbound and inbound calls and online eligibility portals
• Acts as coordinator with Revenue Cycle and other internal departments regarding patient insurance coverage
• Verifies insurance coverage and obtains authorization(s) to provide services
• Collects and organize all supporting documentation to support eligibility and authorization process
• Creates and maintains patient records in appropriate applications based on work instructions and protocols
• Assists in developing insurance company specific billing protocols
• Reports to management monthly patient pipeline status and recommend insurers for contracting
• Follows through to identify and resolve all outstanding benefits issues in a timely manner
• Communicates status of authorization to organization
• Organizes and prioritizes daily work to ensure all responsibilities are kept current
• Demonstrates a commitment toward meeting and exceeding the needs of our customers andconsistently adheres to customer service standards
• Maintains strict adherence to company policies and confidentiality agreements
• Maintains courteous and effective interactions with colleagues and management
• Performs other duties as directed or assigned to meet the needs of the department
SKILLS AND QUALIFICATIONS REQUIREMENTS
• Knowledge of facility medical billing
• Comprehension of all aspects of billing and accounts receivable collections
• Understands and follows HIPAA guidelines to ensure patient privacy
• Ability to communicate with clinical and non-clinical personnel
• Extremely strong computer skills and able to adapt quickly to new applications
• Attention to detail
• Ability to follow documented instructions
• Good organizational skills and the ability to multitask
• Strong problem-solving abilities and analytical skills
• Utilizes critical thinking and good judgement in performance of tasks
• Accurate typing skills with a minimum of 45 WPM
• Proficient with a 10-digit keypad
EDUCATION REQUIREMENTS
• High school diploma or GED
• Post-high school work related to the medical field preferred
• 1 year of medical billing and collections experience preferred
• Six months – 1-year customer service or call center experience
• Relevant healthcare industry experience (medical records, registration, physician office, home health care, etc.) preferred