Insurance Coordinator

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

📋 Description

• Contact insurance carriers for patients to verify coverage for prescribed therapies.

• Acquire authorization for services from patients’ insurance providers.

• Liaise with pharmacy, nursing, and billing departments regarding patient insurance benefits.

• Submit forms for insurance verification and authorizations.

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

• Monitor authorizations and secure reauthorizations as necessary.

• Collect clinical documentation and/or physicians’ letters of medical necessity as needed.

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

• Prepare documentation for the patient's start of care.

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

• Assist with the upfront collection of patient balances, deductibles, and coinsurance.

• Store patient information and emails electronically in the Electronic Document Management system.

• Support other projects assigned by the Intake Manager and Senior Management.

⛳️ Requirements

• High School Diploma or Equivalent.

• 2 to 4 years of experience in insurance reimbursement.

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

• A solid understanding of various types of insurance plans.

• Strong communication skills.

• Excellent organizational abilities.

• Self-motivated and independent worker.