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Benefits Eligibility Coordinator

2 months ago

Nashville, Tennessee, United States Insight Global Full time

  • Verify all new, returning, and annual patient eligibility including private, government and third party insurance information within assigned territory or clinics.
  • Verify primary, secondary & tertiary medical benefits and patient responsibility such as deductible, out of pocket, copay and coinsurance.
  • Verify if any prior authorizations are required pre treatment such as HMO or PCP authorizations initiating authorization request and confirming with the office staff once received
  • Verify and obtain authorization if required for services ordered
  • Utilize online insurance portals and eligibility tools in order to obtain accurate verifications
  • Provide accurate and timely estimated patient responsibility amounts to patient service staff members.
  • Coordinate with Financial Counselor, Patient Navigator and front office staff to ensure smooth collection process.
  • Maintains appropriate documentation in clinic systems and EMR.
  • Communicate with patients as needed in order to obtain updated insurance information
  • Update patient account with all necessary insurance information
  • Contribute to the design of a centralized VOB model working closely with the ION Revenue Cycle Managers
  • Maintain excellent customer service and kindness with all patients and staff
  • Regular attendance and punctuality.
  • Execute all functions of the role with positivity and team effort by accomplishing related results as needed.
  • Ensures that all processing and reporting deadlines are consistently achieved.
  • Perform any other functions as required by management


We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.

We are an equal opportunity/affirmative action employer that believes everyone matters.

Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.

If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to .

com.

To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:
.

  • Minimum of 2 years in benefits, eligibility, verifications, etc
  • Insurance knowledge (Medicare/Medicaid)
  • Knowledge of basic medical terminology, ICD 10 and CPT codes
  • High school graduate or equivalent
  • Previous oncology background preferred
  • Basic Excel knowledge

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