Join to apply for the Insurance Verification Coordinator II role at OrthoLoneStar 2 days ago Be among the first 25 applicants Join to apply for the Insurance Verification Coordinator II role at OrthoLoneStar The Insurance Verification Coordinator I plays a crucial role in ensuring that patients receive the necessary insurance coverage for their medical services. This position involves verifying patient insurance information, determining eligibility, and communicating with insurance providers to resolve any discrepancies. The coordinator will work closely with healthcare providers and administrative staff to facilitate a smooth patient experience and minimize delay in service. By accurately processing insurance verifications, the coordinator helps to ensure that the organization receives timely reimbursements for services rendered. Ultimately, this role contributes to the overall efficiency and effectiveness of the healthcare delivery system.

Duties

Complete all office visit/surgery verification, authorization/precertification to improve customer satisfaction allowing no more than 2 weeks. Completes and provides surgical/injectable estimates to patients. Contacts insurance company for authorization/precertification requirement, initiate request and deliver pertinent medical records, i.e., chart notes, diagnostic imaging reports, and op notes, to expedite process; obtains patient eligibility and benefits via phone (live/automated) or online portal. Notates pertinent information in the system regarding patient insurance verification/pre-certification status and patient financial responsibility. Complies with primary role responsibilities and cover/assist with other roles within the practice when requested. Assists with interviews to determine the technical and behavioral competencies of the most qualified candidate. Acts as liaison with the supervisor to ensure verification, precertification needs are met. (i.e. verifier having difficulty obtaining benefits, precertification coordinator having difficulty obtaining pre-cert, etc.) Assists the administrator and/or supervisor with various administrative projects as directed. (i.e., auditing rejected claims etc.) Works with the supervisor to ensure cross-training of all staff and reassign (in the absence of the supervisor) responsibilities for coverage when a staff member is out. Assists supervisor in training staffs who are failing to perform according to the department/organizational standard. Any additional duties as assigned

Qualifications / Preferred Qualifications

High school diploma or equivalent Previous experience in a healthcare or insurance-related role Strong attention to detail and accuracy in data entry Associate degree in healthcare administration or a related field Familiarity with medical terminology and insurance coding Experience with electronic medical record (EMR) systems

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