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Referral Coordinator / Insurance Verification Representative

Referral Coordinator / Insurance Verification Representative

MedVein Management, LLCSan Antonio, TX, US
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Job Description

Job Description

Description :

Join the Winning Team!! Insurance specialists wanted for a busy medical practice. Candidates should have a positive attitude, strong work ethic, and be a team player.

Hours :

  • Monday-Friday 7 : 30am- 4 : 30pm

Essential Functions :

  • Verifies insurance eligibility and benefits of prospects / referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner
  • Communicates patient benefits in a timely manner using the appropriate systems and associated software application as found in patient notes, tasks, workflow, email and or phone calls
  • Documents and forwards patient deductible, out-of-pocket expense, life-time maximum, and patient responsibility to agency in an accurate and timely manner
  • Reviewsand replies to urgent requests in a timely and accurate manner
  • Obtains all authorization as needed from payer for services ordered / requested in a timely manner
  • Documents specific details related to the authorization including effective and end dates using the appropriate system and associated software application via patient notes, authorizations, tasks, workflow, phone calls and / or email
  • Maintain patient confidentiality, HIPAA compliance
  • Serves as a liaison between the clinic and the payer on a regular basis
  • Coordinates and communicates within regarding any changes or updates from the payer in a timely manner
  • Resolves all customer requests, inquiries, and concerns in an expedient and respectful manner
  • Problem solves independently before referring issues to the Supervisor / Manager for resolution
  • Performs eligibility and or similar, comparable, or related duties as may be required or assigned
  • Adheres to policies / procedures of organization
  • Ability to maintain regular attendance is an essential function
  • Attend meetings as required

    • Requirements :

    Successful Candidate Should Possess :

  • High-School Diploma with additional certifications and / or experience
  • Basic and advanced insurance knowledge (plans, copays, deductibles, coinsurance, etc.)
  • Medical billing / coding experience
  • Medical procedure authorizations experience or ability to learn
  • Excellent oral and written communication skills
  • Excellent organizational / time management and analytical skills
  • Intermediate to advanced computer skills
  • Mathematical aptitude
  • Self-starter, Team player
  • Ability to prioritize workload and multi-task
  • Attention to detail
  • Demonstrated ability to work independently and as a team player
  • Punctuality, Reliability and Honesty
  • Positive, pleasant attitude, neat appearance and flexibility
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