Job Specifications
El paso, TX
$18.21-$22.32 per year
a month ago
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Insurance Eligibility Coordinator
GENERAL SUMMARY OF DUTIES:
This position is responsible for the coordination of various insurance requirements and is expected to be proactively and retroactively reviewing patient accounts. This individual will be involved in on-going communication and coordinate information to various stakeholders in a timely manner. The Insurance Eligibility Coordinator will work with various patients, insurers, providers, and staff to stay compliant with federal and state insurance guidelines.
SUPERVISOR: Practice Manager
PRACTICE/PROVIDER REQUIREMENTS: Position eligible to be utilized with practice volume as measurement of 75 or more patients a day
DUTIES INCLUDE BUT NOT LIMITED TO:
Perform pre-registration and insurance verification on all patients
Contact appropriate parties to resolve issues regarding prior authorizations and necessary referral requirements
Assign insurance plans accurately
Communicate with appropriate parties to discuss any insurance criteria
Verify and utilize online carrier portals and websites to calculate patient cost share and assist patient with payment to appropriate departments
Coordinate and oversee all Good Faith Estimates and the federally mandated requirements
Resolve and oversee denied billing issues for various insurance companies
Assist in answering incoming calls and ensure patient questions are answered and screened appropriately
Collect co-pays and discusses reasoning for past due balances with patients
Performs other related job functions as assigned
Ability to work with co-workers, patients, various stakeholders, and management in a positive supportive, and cooperative manner
Participates in educational activities and attends monthly staff meetings
Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations
Performs other related job functions as assigned
EDUCATION
Associate Degree preferred
EXPERIENCE:
A minimum of two years of medical office or acute care setting healthcare experience required
A minimum of one year of health insurance related experience required
CERTIFICATION/LICENSE:
None