Benefit Verification Coordinator
5 days ago
CornerStone Staffing is seeking a Benefit Verification Coordinator with a great team work ethic and with experience in fast paced environment. If you have this experience we have the right job for you
Job ID: 148330
Location: 100% Remote
Pay: $24.50
Schedule: M-F 8a -6p
Job Description:
Verifies insurance benefits for new patient referrals and re-verifies existing patient benefits as indicated by policy. Obtains pre-certifications, pre-determinations, and authorizations for services per insurance guidelines. Evaluates profitability of therapies and communicates issues.
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Manage work queue to department standards for productivity and quality.
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Verifies insurance benefits for new patient referrals.
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Re-verifies insurance benefits for existing patients.
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Accurately evaluates charge and reimbursement estimates for infusion therapies.
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Reviews all medical documentation against medical policy and initiates/obtains pre-determination, pre-certification, and authorizations as needed.
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Follow-up on pending pre-certifications and/or pre-determinations until outcome decided.
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Updates and maintains insurance and authorization information in billing software.
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Obtains PCP referrals as needed.
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Completes special projects as assigned.
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Performs other job-related duties as assigned.
Qualifications/Requirements
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Two or more years of related experience in a healthcare industry; intake/patient access experience.
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Experience with infusioninjectable medication prior authorizations
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Must be able to communicate effectively, both orally and in writing.
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Must demonstrate an understanding of reimbursement practices including government program regulation and managed care contracting
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Experience working in, and managing changing priorities, in a high volume, fast-paced work environment.
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Excellent personal computing skills and a working knowledge of MS Office software
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Maintains clear communication with customers regarding mutual expectations. Takes personal responsibility and accountability for correcting customer-service problems.
Additional Knowledge and Skills -
Ability to work well as part of a collaborative team as well as independently.
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EPIC EMR Experience
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High School diploma or equivalent
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