drjobs Insurance Verification and Referral Coordinator

Insurance Verification and Referral Coordinator

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1 Vacancy
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Job Location drjobs

Tarpon Springs, FL - USA

Monthly Salary drjobs

Not Disclosed

drjobs

Salary Not Disclosed

Vacancy

1 Vacancy

Job Description

St. Lukes Cataract & Laser Institute is looking to hire a full-time Insurance Verification & Referral Coordinator to join our team in our Tarpon Springs office! We are looking for someone who is able to effectively prioritize multitask has attention to detail and communicates effectively.

Company Mission
Life Changing Vision is a mission statement we adhere to in every aspect of our care giving from the moment a patient walks through our doors to the follow-up care they receive. We are committed to helping our patients attain overall wellness in body mind and spirit.


About the Job
The Insurance Verification & Referral Coordinator is responsible for ensuring a smooth patient experience and accurate billing process. This role is responsible for verifying patient insurance coverage obtaining referrals and authorizations and serving as a liaison between patients providers and insurance companies. Your focus will be on processing clean claims fewer denials and faster payments.
What do we look for
Insurance Verification
Verify insurance eligibility and benefits for all scheduled patients prior to appointments
Confirm coverage levels co-pays deductibles and out-of-pocket limits
Communicate with patients regarding coverage issues financial responsibilities and policy changes
Update and maintain accurate insurance information in the EMR and practice management systems
Referral & Authorization Management
Obtain prior authorizations and referrals from primary care physicians or insurance carriers as required
Track and document referral statuses and ensure that all authorizations are received prior to services
Follow up with insurance companies on delayed or missing authorizations
Coordinate with clinical teams to reschedule appointments if referral/authorization is not obtained in time
Maintain logs or databases for referrals and authorization tracking
Communicate with internal departments (billing scheduling clinical teams) regarding insurance or referral issues
Assist in training staff on payer-specific processes and insurance verification workflows
Education & Experience
High school diploma or equivalent required; Associate degree or medical office training preferred
Minimum 2 years of experience in insurance verification medical billing or referrals (preferably in a specialty or hospital setting)
Strong working knowledge of commercial Medicare Medicaid and managed care insurance plans
Proficiency in EMR systems (e.g. Epic eClinicalWorks NextGen etc.)
Excellent written and verbal communication skills
Strong organizational and time-management skills
Detail-oriented with a knack for spotting discrepancies
Able to multitask in a fast-paced environment
Demonstrate patience focus on problem solving and being a team player
The Benefits of working for St. Lukes
  • Medical Dental Vision Life Insurance 401(k) with Employer Match Paid Time Off and Holiday Pay
  • Opportunity to build a career with a longstanding reputable organization
  • Leadership and Career Advancement opportunities
  • Competitive wages and certification bonuses
  • Monday Friday work week
  • Weekends and Holidays off
See more benefits at are an Equal Opportunity Employer and a Drug and Smoke Free Workplace
We participate in the E-Verify Program



Required Experience:

IC

Employment Type

Full Time

Company Industry

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