Medical Hub Coordinator

3 weeks ago


Orlando, Florida, United States COPILOT Full time
About the Opportunity: COPILOT is a rapidly growing third-party hub services company that provides innovative online solutions to various members and groups within the healthcare industry. As a Medical Hub Coordinator, you will play a vital role in connecting medical providers and health insurance companies. This full-time role is located in Maitland, FL, and offers a competitive salary of $60,000 - $70,000 per year, based on experience.

Job Summary: The successful candidate will be responsible for facilitating authorizations, communicating with doctors' offices, handling benefits request investigations, and interacting with insurance companies to obtain patient information. A strong understanding of medical billing and insurance verifications is an asset for this position.

Responsibilities:
  • Facilitate authorizations for medical providers, as needed.
  • Communicate with doctors' offices via phone to discuss clinicals, authorizations, transfers, and follow-ups.
  • Handle benefits request investigations submitted by medical doctors' offices.
  • Interact with insurance companies directly to obtain patient information.
  • Serve as primary contact for inbound calls, answer inquiries regarding submitted cases, follow-ups, and other case-related issues.
  • Communicate with field access managers and key account managers for updates and support.
  • Document and make notations in the system regarding case information.

Qualifications:
  • 1-3 years of experience in the medical/healthcare or insurance field, required.
  • Experience with benefits investigation, prior authorizations, and/or pre-certifications for prescriptions, treatments, procedures, and DME, preferred.
  • Familiarity with medical billing, insurance verifications, reimbursement issues, a plus.
  • Ability to maintain strict HIPAA patient confidentiality and protect PHI.
  • Strong computer skills, including MS Office.


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