Patient Coverage Coordinator

7 days ago


Colorado Springs, Colorado, United States Care Synergy Full time
About the Role

We are seeking a highly skilled Insurance Benefits Specialist to join our team at Care Synergy. As a key member of our Patient Access Department, you will play a critical role in ensuring that our patients receive the care they need while navigating the complexities of insurance coverage.

Key Responsibilities
  • Verify patient payer benefits and eligibility, working closely with the Admissions Team to ensure accurate and timely coverage information.
  • Communicate patient financial responsibilities to the Admissions team, explaining coverage details as needed.
  • Research and report prior hospice services received by patients, ensuring accurate documentation and communication with insurance companies.
  • Act as a liaison between private insurance companies and government entities, accurately documenting conversations and obtaining prior authorization as necessary.
  • Process insurance verification and authorization workflow within our electronic medical record, maintaining ongoing authorization and re-authorization as required.
  • Reconcile and enter patient day count into the electronic medical record to ensure benefit periods are correct and billable.
  • Resolve internal and external conflicts, seeking assistance as needed.
Requirements
  • High School diploma or equivalent combination of education and experience.
  • At least one year of experience in insurance verification, billing, or receivables in a hospice or healthcare environment.
What We Offer

As a valued member of our team, you will enjoy a comprehensive benefits package, including competitive pay, generous paid time off, and opportunities for professional growth and development.



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