Healthcare Insurance Coordinator Specialist
hace 1 día
Job Overview
The Healthcare Insurance Coordinator Specialist plays a vital role in ensuring timely and accurate processing of insurance-related tasks. As a key member of the Auxis team, you will be responsible for managing the entire lifecycle of patient services, from pre-registration to post-service follow-up.
Responsibilities:
- Perform pre-registration and insurance verification within 3-5 days prior to the date of service for both inpatient and outpatient services.
- For notifications received with less than 3 days' advance notice, perform within 24 hours of notification.
- Follow scripted benefits verification and pre-certification formats in Meditech custom benefits screens and record benefits and pre-certification information in approved standard formats.
- Assign insurance plans (IPlans) accurately.
- Perform electronic insurance eligibility confirmation when applicable and document results.
- Complete Medicare Secondary Payor Questionnaires as applicable for retention in imaging systems (i.e., OnBase).
- Calculate patient cost share and be prepared to collect via phone or make payment arrangements.
- Contact patients via phone (with as much advance notice as possible, preferably 48 hours prior to the date of service) to confirm or obtain missing demographic information, quote/collection patient cost share, and instruct patients on where to present at time of appointment.
- Receive and record payments from patients for services scheduled.
- Utilize appropriate communication systems to facilitate communication with hospital gatekeepers.
- Ensure appropriate documentation is entered in standard format on the patient record. This should be performed in the applicable Health Information System (i.e., Meditech) and if necessary, any other subsidiary systems if they are not automatically updated.
- Contact physicians to resolve issues regarding prior authorization or referral forms.
- Research patient visit history to ensure compliance with payor-specific payment window rules.
- Perform insurance verification and pre-certification follow-up for prior day's walk-in admissions/registrations and account status changes by assigned facility as per SSC guidelines.
- Communicate with hospital-based Case Managers as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues.
- Meet/exceed performance expectations and complete work within required timeframes.
- Implement and follow system downtime procedures when necessary.
- Practice and adhere to the 'Code of Conduct' philosophy and 'Mission and Value Statement.'
Requirements:
- High school diploma or GED preferred.
- One year of related customer experience required.
- English language proficiency level B2+
- Able to work on the phone with different stakeholders.
- Knowledge of medical insurance processes is a plus.
-
Insurance Support Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Abbvie A tiempo completoOverviewAbsorb the opportunity to excel in a dynamic role at AbbVie, a world-renowned leader in innovative healthcare solutions.About UsWe are driven by our passion for improving lives through groundbreaking medical advancements. As a key member of our team, you will play a pivotal role in delivering exceptional patient experiences.Job DescriptionThe...
-
Customer Service Insurance Coordinator
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAt Auxis, we are seeking a highly skilled Customer Service Insurance Coordinator to join our team. As an Insurance Authorization Jr Agent, you will play a critical role in ensuring timely and accurate updates of insurance policies.This is a fantastic opportunity for individuals who enjoy working in a fast-paced environment and have excellent communication...
-
Healthcare Claims Specialist
hace 3 días
San Francisco, Heredia, Costa Rica Experian A tiempo completoRole SummaryWe are seeking a skilled Healthcare Claims Specialist to join our team. In this role, you will be responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance.About the RoleImplement process for identifying under-allowed claims using software and other...
-
Medical Billing and Insurance Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAuxis is a fast-growing business process outsourcing provider offering exceptional opportunities for career growth and development. We are seeking an experienced Medical Billing and Insurance Specialist to provide support to our largest account, a leading healthcare services provider.As a Medical Billing and Insurance Specialist, you will play a vital role...
-
Insurance Operations Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Experian A tiempo completoAbout the RoleWe are seeking a highly skilled and detail-oriented individual to join our team as an Insurance Operations Specialist.
-
Medical Insurance Operations Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**About Auxis:**Auxis is a global provider of business process outsourcing solutions, dedicated to helping companies optimize their operations and improve performance.**Salary Range:** $45,000 - $60,000 per annum, depending on experience and qualifications.Job Description:The Medical Insurance Operations Specialist will play a critical role in ensuring the...
-
Insurance Claims Specialist
hace 2 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**Company Overview**Auxis is a fast-growing business process outsourcing provider that offers support to one of its largest accounts and a leading provider of healthcare services. This provider serves numerous hospitals and physician practices, resulting in over 50 million patient encounters annually.**Job Summary**As an Insurance Plan Clerk, you will play a...
-
Medical Insurance Specialist
hace 3 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**Job Summary:**Auxis is seeking a detail-oriented Medical Insurance Specialist to join our team. In this role, you will be responsible for pre-registration and insurance verification processes associated with patient care.**Key Responsibilities:**Perform pre-registration and insurance verification within 3-5 days prior to date of service for inpatient and...
-
Insurance Policy Quote Specialist
hace 4 días
San Francisco, Heredia, Costa Rica Experian A tiempo completoCompany OverviewExperian is the world's leading global information services company, empowering consumers and clients to manage data with confidence. Our team works tirelessly to make smarter decisions, prevent identity fraud, and create a better tomorrow. Job SummaryWe are seeking an Insurance Policy Quote Specialist to join our Experian Consumer Services...
-
Technical Project Coordinator Specialist
hace 5 horas
San Francisco, Heredia, Costa Rica Sykes Costa Rica A tiempo completoCompany OverviewSykes Costa Rica is a dynamic and innovative company that values its employees and strives to create a positive work environment.We are seeking a highly skilled and experienced Technical Project Coordinator Specialist to join our team.Job DescriptionThe successful candidate will be responsible for planning, coordinating, and executing...
-
Insurance Operations Team Manager
hace 1 día
San Francisco, Heredia, Costa Rica Abbvie A tiempo completoAbout the RoleWe are seeking an experienced Insurance Operations Team Manager to join our Abbvie team in a challenging and rewarding role. This position will oversee and direct a team of insurance analysts, ensuring seamless customer experiences for patients and physicians.Job SummaryThis is a dynamic opportunity to lead and manage a high-performing team...
-
Insurance Operations Specialist
hace 1 día
San Francisco, Heredia, Costa Rica Experian A tiempo completoJob Overview: At Experian, we're redefining the insurance broker model with technology and human interaction. Our mission is to make finding the best home and auto insurance easy, straightforward, and transparent.
-
Healthcare Support Specialist Position
hace 5 horas
San Francisco, Heredia, Costa Rica Auxis A tiempo completoCompany Overview">Auxis is a fast-growing business process outsourcing provider dedicated to delivering exceptional support services to its clients. With a strong commitment to employee growth and development, Auxis empowers its team members to advance their careers in a dynamic and supportive environment.">Job Description">In this role, you will be working...
-
Financial Operations Coordinator
hace 2 días
San Francisco, Heredia, Costa Rica Equifax A tiempo completoCompany Overview">At Equifax, we empower our employees to power their possible. If you're looking to chart new paths, develop new skills, collaborate with bright minds, and make a meaningful impact, we want to hear from you.">Job Description">">We are seeking a highly skilled Financial Operations Coordinator to join our team. In this role, you will be...
-
Financial Operations Coordinator
hace 1 día
San Francisco, Heredia, Costa Rica Equifax A tiempo completoCompany Overview:">At Equifax, we empower individuals to reach their full potential. We foster a culture of innovation and collaboration where talented professionals can develop new skills and make meaningful contributions.">About the Role:">This Financial Operations Coordinator position plays a vital role in ensuring the seamless execution of billing...
-
San Francisco, Heredia, Costa Rica Tebra A tiempo completo**About the Role**: The position of Customer Digital Marketing Coordinator plays a pivotal role in Tebra Services' success. As the go-to digital marketing expert for our CSM team and customers, your contributions will significantly impact customer satisfaction scores, effective marketing campaign management, service churn reduction, and team...
-
Healthcare Operations Specialist
hace 4 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoJob SummaryThe Senior Healthcare Analyst is responsible for supporting all activities related to government logging and discrepancy analysis function which includes verifying the accuracy of calculated discounts and analyzing discrepancies to determine root cause and resolution steps.Responsibilities:Ensuring efficient and effective governmental discrepancy...
-
Healthcare Support Specialist
hace 4 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completo**About Auxis**Auxis prioritizes employee growth and development to help you advance your career.We empower our team members to be their best in the interest of a common goal.We strive to improve our culture and environment with tools that provide better visualization of our organization's pulse.Our benefits include:Health benefits including medical, vision,...
-
Healthcare Support Professional
hace 4 días
San Francisco, Heredia, Costa Rica Auxis A tiempo completoAbout AuxisAuxis is a fast-growing business process outsourcing provider, partnering with leading healthcare services companies to deliver exceptional support. With 959 hospitals and 2979 physician practices under its belt, Auxis serves over 50 million patients annually.Job SummaryYou will be working as a Prebill Denials Analyst, providing crucial support to...
-
Learning Solutions Coordinator
hace 5 horas
San Francisco, Heredia, Costa Rica Object Technology Solution A tiempo completoAbout Object Technology Solutions, Inc.OTSI is a global provider of innovative solutions for companies of all sizes. Our mission is to deliver exceptional talent and cutting-edge technologies to optimize outcomes and reduce risk.Job SummaryWe are seeking an experienced Learning Solutions Coordinator - Deployment Specialist to join our Learning & Development...