Insurance Verification Coordinator

3 days ago

Harwich Port, United States Outer Cape Health Services Full time
Job DescriptionJob Description

Our Culture: Why work with us?

Joining Outer Cape Health Services isn't just about taking on a new role; it's about embracing a mission that goes beyond the day-to-day. Here, you become part of a dedicated team committed to safeguarding and nurturing invaluable community health resources. Our ethos is built on creating a vibrant and inclusive workplace where every team member is valued and recognized for their unique contributions.

Who We Are :

Our mission is to provide a full range of primary health care and supportive social services that promote the health and well-being of all who live in or visit the ten outermost towns of Cape Cod.

OCHS now cares for more than 18,000 patients annually, and no one is denied access to services due to an inability to pay. Founded in 1987 through the merger of Health Associates of Provincetown (established in 1972) and the AIM Medical Center in Wellfleet (established in 1966), Outer Cape Health has a long history of successful growth and expansion in pursuit of this mission. As a Patient-Centered Medical Home, OCHS holds itself to the highest standards. Ensuring patients have access to care when they need it and request it, and validating that staff are working at the top of their licensures, are foundations of this model.

Our Core Competencies:

At Outer Cape Health Services, our core competencies are the foundation upon which our organization is built, guiding us in our mission to deliver exceptional health services to our communities. Our focus on fostering teamwork ensures that we operate as a cohesive unit, valuing each member's contribution and working synergistically towards common goals. Integrity and honesty stand at the heart of everything we do, creating a culture of trust and respect among our team and the communities we serve. Embracing technology, we continually seek innovative solutions to enhance our services and operations. Finally, being patient-centered, we prioritize the needs and well-being of those we serve, striving to exceed expectations and make a meaningful difference in their lives.

A day in the life of this role:

Reporting to the Director of Clinic Support, the Insurance Verification Coordinator is responsible for verifying patient coverage, communicating insurance information to involved departments and ensuring appropriate coverage and benefits for upcoming appointments. Referring Patients to Financial Assistance Coordinator.

Summary of duties:

  • Performs insurance verification
    • Review daily schedule and utilize all available resources to determine whether a patient is eligible for coverage
    • Notify patient, ahead of scheduled visit, and resolve any issues with coverage prior to services being rendered
    • Update demographic, insurance information and guarantor billing info.
    • Communicate pertinent coverage information to appropriate staff
  • Receive and follow up on patient inquiries regarding insurance coverage
  • Refers patients to appropriate Financial Assistance Coordinators staff as needed
  • Work closely with the Referrals dept to communicate insurance details that are essential to processing insurance referrals to specialists. Validating insurance coverage of patients and plan allowances for specialists' visits

What we need from you:

  • High school diploma required, some college preferred
  • Two plus years of experience in a healthcare setting
  • Use of electronic practice management and electronic medical record software is required
  • Medical terminology preferred.
  • Understanding of revenue cycle & Insurance Payers
  • Position requires exceptional customer service.
  • Self-motivated and self-directed to work within a team and independently.
  • Insurance verification, eligibility and understanding of response histories
  • Outstanding organizational skills
  • Excellent written and verbal communication skills
  • Proficiency in computer skills including outlook, Microsoft office, Epic, OneDrive etc.
  • Excellent judgment and ability to solve problems in a timely manner.
  • Ability to adhere to strict confidentiality standards.
  • Demonstrated ability to make independent decisions and establish priorities in a busy work environment
  • Demonstrated ability to work effectively both as a team member and independently.
  • Demonstrated ability to work in a culturally diverse and inclusive environment

AAP/EEO Statement Outer Cape Health Services is committed to a firm policy in favor of equal employment opportunity and will abide by all applicable state and federal regulations by not discriminating against any applicant or employee on the basis of race, religion, color, creed, sex, age, national origin, citizenship status, marital status, sexual orientation, gender identity and expression, disability or veteran status. Our commitment to equal employment opportunities shall include employment, upgrading, promotion, demotion, transfer, leaves or other absences from work, layoff, compensation and benefits, selection for training or other education, professional opportunities and conflict resolution.

It is also the policy of OCHS to take affirmative action to employ and to advance in employment, all persons regardless of their status as woman, minority or individuals with disabilities or protected veterans, and to base all employment decisions only on valid job requirements.

Please inform us of any necessary accommodations required during the application process and/or at any time during employment.



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