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Job Requirements of Insurance Verification Coordinator I - 590069:
-
Employment Type:
Contractor
-
Location:
Florida, FL (Onsite)
Do you meet the requirements for this job?
Insurance Verification Coordinator I - 590069
BC Forward
Florida, FL (Onsite)
Contractor
Insurance Verification Coordinator I - 590069BC Forward is looking for Insurance Verification Coordinator I in Florida
Position Title: Insurance Verification Coordinator I
Location: Remote - FL
Anticipated Start Date: 03/09
Duration: 3 months
Job Type: Contract with potential for extension
Pay Rate: $18.00/hour(W2)
Need: Direct experience in benefit verification and prior authorization submissions, with a professional presentation style.
Interview Process: 1-Phone Screen, 2-Virtual/ IN Person Round
Job Description:
Position Purpose
Obtain and verify complete insurance information, including prior authorization processing, copay assistance, and coordination of benefits.
Education/Experience
Key Responsibilities
Typical Day in the Role
Role Expectations
Candidates must have experience:
Candidate Requirements
Education/Certification
Additional Preferred Qualities
Top 3 Must-Have Hard Skills (Ranked)
Managed Care
Customer Service
Call Center
Position Title: Insurance Verification Coordinator I
Location: Remote - FL
Anticipated Start Date: 03/09
Duration: 3 months
Job Type: Contract with potential for extension
Pay Rate: $18.00/hour(W2)
Need: Direct experience in benefit verification and prior authorization submissions, with a professional presentation style.
Interview Process: 1-Phone Screen, 2-Virtual/ IN Person Round
Job Description:
Position Purpose
Obtain and verify complete insurance information, including prior authorization processing, copay assistance, and coordination of benefits.
Education/Experience
- High school diploma with 1+ years of medical billing or insurance verification experience.
- A Bachelor's degree in a related field may substitute for experience.
- Experience working with payors and prior authorizations preferred.
Key Responsibilities
- Obtain and verify insurance eligibility for services provided and document complete information in the system.
- Perform prior authorizations as required by payor sources, including obtaining necessary documentation through collaboration with physician offices and insurance companies.
- Collect clinical information such as lab values, diagnosis codes, etc.
- Determine patients' financial responsibilities as outlined by insurance plans.
- Configure coordination of benefits information for every referral.
- Ensure assignment of benefits is obtained and on file for Medicare claims.
- Bill insurance companies for therapies provided.
- Document all relevant communication with patients, physicians, and insurance companies as it relates to collection procedures.
- Identify and coordinate patient resources related to reimbursement, including copay cards, third-party assistance programs, and manufacturer assistance programs.
- Handle inbound calls from patients, physician offices, and/or insurance companies.
- Resolve claim rejections related to eligibility, coverage, and other issues.
- Perform other duties as assigned.
- Comply with all policies and standards.
Typical Day in the Role
- Perform insurance verification for medications.
- Handle prior authorization appeals.
- Communicate with patients, doctors' offices, and insurance plans.
- Manage inbound internal queue.
- Process 25+ referrals per day.
- Maintain 95% quality or higher.
- Attendance is crucial.
Role Expectations
Candidates must have experience:
- Obtaining benefits directly from health plans and providing information to patients.
- Submitting prior authorizations independently.
- Direct benefit verification experience.
- Prior authorization submission experience.
- Professional presentation.
Candidate Requirements
Education/Certification
- Required: High school diploma
- Preferred: N/A
- Required: N/A
- Preferred: N/A
- Required: 1+ years of relevant experience
Additional Preferred Qualities
- Proficiency in Microsoft Office
- Backgrounds that perform well in this role include: Managed Care, Pharmacy, Medical Terminology, Physician Office Experience, Customer Service, and Call Center environments.
Top 3 Must-Have Hard Skills (Ranked)
Interested candidates please send resume in Word format Please reference job code 250112 when responding to this ad.
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