Insurance Verification & Referral Coordinator FT, PT and PRN
Insurance Verification & Referral Coordinator FT, PT and PRN
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Job Description
Insurance Verification and Referral Coordinator
We areGROWING AGAIN and looking for friendly dynamic compassionate team-members to join our organization. The ideal candidate is courteous personable and professional. If youre a problem solver with a gift for making things run smoothly and alleviating patient concerns please apply.
We are a fast-paced busy general surgical and cosmetic Dermatology Mohs/Plastic Surgery and Aesthetic center practice in Prosper Plano and McKinney. We are looking for experienced medical insurance verification and referral coordinator(s)s with at least 2 years experience in this or related field.
Candidates must be dependable punctual detail-oriented professionals who are self-starters and who enjoy and thrive in fast-paced environments. Prefer experience in Dermatology MOHs General or Plastic Surgery Ob-Gyn or Cardiology. Bilingual a plus.We use ModMed for our EMR and PMS. Experience with aesthetic services and products a plus.
We offer an awesome work environment. If you are interested in making a difference in patients lives enjoying your workday in an office that values and appreciates you has a strong and fun work family feel with truly fabulous providers and working for a non-corporate organization--- please forward your resume and references to learn more about us.
Schedule:
- Monday-Thurs 7:45-5 and Friday 7:45-12 for full-time
- Part time/PRN schedules are flexible
- Must be available to work at any location on any day
Qualifications
The Insurance Verification Coordinator is responsible for ensuring accurate and timely insurance verification and authorization for patient services. This role plays a critical part in the revenue cycle by minimizing claim denials and ensuring timely reimbursement from insurance carriers.
Essential Duties and Responsibilities:
- Insurance Verification:
- Verify patient insurance eligibility and benefits for all scheduled procedures.
- Obtain and document prior authorizations from insurance companies as required.
- Determine patient financial responsibility and communicate this information to patients.
- Collect and maintain accurate patient demographic and insurance information.
- Research and resolve insurance coverage and benefit discrepancies.
- Data Entry and Maintenance:
- Accurately enter patient and insurance information into the electronic health record (EHR) or other relevant systems.
- Maintain accurate and up-to-date records of all verification and authorization activities.
- Communication:
- Communicate effectively with patients insurance carriers and internal departments regarding insurance coverage and authorization status.
- Respond promptly to inquiries from patients and staff regarding insurance coverage and billing matters.
- Compliance:
- Stay informed of and comply with all relevant insurance regulations and payer guidelines.
- Participate in ongoing training and education to maintain knowledge of insurance verification and reimbursement procedures.
- Proficient in medical administrative support and patient care
- Skilled in Modernizing Medicine (EMA & PMS) systems. Uses practice management software (PMS) patient portal and appointment reminder systems mobile applications and other forms of technology to manage scheduling interact with patients and providers and update files and patients records.
- Experience in patient intake process verifying and updating demographics and insurance coverages
- Experience in patient check out process collecting all payments due scheduling recalls and follow ups balancing all financial transactions
- Experience in answering multi-line phone system and scheduling patients
- Demonstrate excellent communication skills when interacting with patients and staff.
- Protects patients rights by maintaining confidentiality of medical personal and financial information.
- Bilingual proficiency is a plus for effective patient communication
- Experience in Dermatology Mohs Plastic Surgery and Aesthetic settings preferred
Required Experience:
Senior IC
Employment Type
Full-Time
