Insurance Coordinator
2 weeks ago
We are seeking a highly organized and detail-oriented Insurance Coordinator to join our team at South Shore Health. As an Insurance Coordinator, you will play a critical role in ensuring the smooth admission process and insurance verification for patients and referrals to our Outpatient Cardiac Rehabilitation department.
Main Responsibilities:- Respond to incoming calls and requests for services, completing insurance intake information from patients, physicians, and other sources.
- Develop effective relationships with payer representatives to facilitate coverage and problem resolution.
- Provide documentation for third-party payer benefits in a timely manner.
- Understand coordination of benefits and act as a liaison between patients and clinicians.
- Maintain knowledge of payer requirements and initiate methods to maintain knowledge.
- Create an accurate database for all patients and verify third-party coverage.
- Obtain pre-authorizations/certification for services per payer guidelines before the initial date of service.
- Enter referral information into the referral shell in EPIC and record patient medical record referral information as it is received.
Work with patients' referring MDs to obtain medical necessity before booking initial appointments for cardiac rehabilitation services.
Cardiac Rehab Program Enrollment:- Responsible for the successful collection of all necessary documentation from patients, physicians, and other facilities for patients entering the Cardiac Rehab program.
- Provide clerical support to the Cardiac Rehab department as scheduled by the Nurse Manager.
Greet and acknowledge all patients and visitors with professionalism and direct them to appropriate services.
Pre-Registration and Registration:- Complete pre-registrations and registrations with respect for patient privacy and understand the impact of data accuracy on hospital operations.
- Ensure complete collection of referral information, including accurate patient demographics and referring physician contact information.
- Ensure accurate registration of insurance information and communicate with patients in a confidential manner.
Schedule cardiac rehabilitation appointments in an efficient, coordinated, and integrated manner to maximize optimal utilization of resources and patient access to services.
Co-Payment Collection:Adhere to department standards for timely collection of co-payment, completing all documentation and delivery according to department standards.
We offer a competitive salary and benefits package, as well as opportunities for professional growth and development. If you are a detail-oriented and organized individual with excellent communication skills, we encourage you to apply for this exciting opportunity.
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Insurance Coordinator
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