Referral Coordinator/ Insurance Verification Representative

Description Join the Winning Team!! Insurance specialists wanted for a busy medical practice. Candidates should have a positive attitude, strong work ethic, and be a team player. Hours: Monday-Friday 7:30am- 4:30pm Essential Functions: Verifies insurance eligibility and benefits of prospects/ referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner Communicates patient benefits in a timely manner using the appropriate systems and associated software application as found in patient notes, tasks, workflow, email and or phone calls Documents and forwards patient deductible, out-of-pocket expense, life-time maximum, and patient responsibility to agency in an accurate and timely manner Reviewsand replies to urgent requests in a timely and accurate manner Obtains all authorization as needed from payer for services ordered/requested in a timely manner Documents specific details related to the authorization including effective and end dates using the appropriate system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and/or email Maintain patient confidentiality, HIPAA compliance Serves as a liaison between the clinic and the payer on a regular basis Coordinates and communicates within regarding any changes or updates from the payer in a timely manner Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner Problem solves independently before referring issues to the Supervisor/Manager for resolution Performs eligibility and or similar, comparable, or related duties as may be required or assigned Adheres to policies/procedures of organization Ability to maintain regular attendance is an essential function Attend meetings as required Requirements Successful Candidate Should Possess: High-School Diploma with additional certifications and/or experience Basic and advanced insurance knowledge (plans, copays, deductibles, coinsurance, etc.)

Medical billing/coding experience Medical procedure authorizations experience or ability to learn Excellent oral and written communication skills Excellent organizational/time management and analytical skills Intermediate to advanced computer skills Mathematical aptitude Self-starter, Team player Ability to prioritize workload and multi-task Attention to detail Demonstrated ability to work independently and as a team player Punctuality, Reliability and Honesty Positive, pleasant attitude, neat appearance and flexibility