Insurance Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Reach out to patients’ insurance providers to confirm coverage for recommended therapies.

• Secure authorization for services from insurance companies.

• Liaise with pharmacy, nursing, billing, referral sources, sales teams, and operational staff regarding insurance benefits.

• Submit forms for insurance verification and obtain necessary authorizations.

• Engage in daily patient rounds to assess ongoing care requirements.

• Monitor authorizations and request reauthorizations when necessary.

• Gather required clinical documentation and/or letters of medical necessity from physicians.

• Conduct data entry within the Specialty Pharmacy Business Operating system.

• Prepare documentation for patients starting care.

• Offer financial counseling to patients and/or their representatives.

• Support the upfront collection of patient balances, deductibles, and coinsurance amounts.

• Digitally store patient information, including emails, in the Electronic Document Management system.

• Assist with additional projects assigned by the Intake Manager and Senior Management.

⛳️ Requirements

• High School Diploma or equivalent qualification.

• 2 to 4 years of experience in insurance reimbursement.

• 1 to 2 years of experience in home care or home infusion reimbursement.

• A solid understanding of various insurance plan types.

• Strong communication abilities.

• Excellent organizational skills.

• Self-driven and motivated individual.

• Proficient with computers.

🏝️ Benefits

• Medical insurance.

• Dental insurance.

• Vision insurance.

• 401(k) plan.

• Paid Time Off.

• Paid Holidays.

• Flexible Spending Account (FSA).

• Life and Accidental Death & Dismemberment (AD&D) Insurance.

• Disability Coverage.

• Employee Referral Program.