Insurance Authorization Coordinator

2 weeks ago

Concord, New Hampshire, United States New England Life Care Full time
Position Overview

New England Life Care (NELC) stands as a leading provider of home infusion therapy services in New England, recognized for its commitment to quality and patient-centered care. As a non-profit organization, NELC collaborates with over 70 hospital systems across the region, ensuring that patients receive exceptional service and support.

We are currently seeking a dedicated Insurance Authorization Coordinator to join our team. This role is ideal for individuals who thrive in a dynamic environment and possess a strong background in customer service and insurance verification. If you are passionate about delivering high-quality support, we encourage you to consider this opportunity.

This position is fully remote, requiring a commitment of 40 hours per week. The standard working hours are Monday to Friday, with occasional holiday shifts compensated at a premium rate.

**Remote work is available only in specific states: Maine, Massachusetts, New Hampshire, Connecticut, and Rhode Island**

Benefits Offered:

  • Career Advancement Opportunities
  • Comprehensive Health Coverage
  • Dental and Vision Insurance
  • Generous Employer-Matched Retirement Savings Plan
  • Company-Paid Life Insurance and Disability Coverage
  • Paid Time Off and Additional Perks
Key Responsibilities
  • Collaborate with a team to facilitate the onboarding of new patient referrals from various healthcare providers.
  • Verify insurance details for new patient referrals, including Commercial, Medicare, Medicaid, and Workers' Compensation, ensuring accurate communication of patient responsibilities and coverage to the Intake team.
  • Utilize online platforms to assess plan benefits related to home infusion services.
  • Identify and interpret medical policies and requirements to ensure prompt payment for services rendered.
  • Engage in negotiations with third-party payers to establish pricing in accordance with company protocols.
  • Conduct monthly re-verifications of patient accounts to maintain accurate billing information.
  • Accurately enter new patient data into the Electronic Medical Record (EMR) system, ensuring all necessary fields are completed.
  • Document all relevant information in the EMR to maintain current account statuses and provide management with insights to enhance revenue collection.
  • Communicate effectively with branch staff to update patient therapy statuses and billing information as needed.
  • Monitor and report on issues affecting the timely processing of patient referrals and account management.
  • Follow up on accounts with discrepancies related to claims or insurance status, ensuring clear communication with patients.
  • Review daily reports to ensure accuracy in accounts and facilitate a smooth billing process.
Qualifications and Skills
  • Associate's or Bachelor's Degree in Business Administration is preferred; relevant industry certifications are advantageous.
  • A minimum of 2 years of experience in a healthcare business office or hospital environment, focusing on patient registration and insurance verification.
  • Experience with third-party health insurance plans or claims administration is preferred.
  • Familiarity with government health insurance benefits and reimbursement regulations is a plus.
  • Proficiency in healthcare billing and collections software, including electronic claims processing.
  • Knowledge of Home Infusion Therapy billing practices is preferred.
Preferred Attributes:
  • Exceptional verbal and written communication skills to effectively convey policies and insurance benefits to patients.
  • Strong negotiation abilities to secure favorable agreements with insurance providers.
  • Solid mathematical skills for calculating charges and expected payments.
  • Commitment to maintaining patient confidentiality.
  • Excellent organizational skills with a keen attention to detail.
  • Ability to work independently and collaboratively within a team.
  • Proven problem-solving skills and the ability to conduct independent research.

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