Administrative Coordinator for Insurance Verification
hace 2 meses
Auxis is seeking a highly skilled Administrative Coordinator to join our team. As an Administrative Coordinator, you will be responsible for ensuring timely and accurate processes associated with pre-registration, insurance verification, pre-certification, and insurance notification.
Key Responsibilities:
- Perform pre-registration and insurance verification within 3-5 days prior to date of service for inpatient and outpatient services.
- Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information in the approved standard format.
- Assign Insurance Plans (IPlans) accurately.
- Perform electronic insurance eligibility confirmation when applicable and document results.
- Calculate patient cost share and be prepared to collect via phone or make payment arrangement.
You will also be responsible for:
- Contacting patients via phone to confirm or obtain missing demographic information, quote/call patient cost share, and instruct patients on where to present at time of appointment.
- Receiving and recording payments from patients for services scheduled.
- Utilizing appropriate communication systems to facilitate communication with hospital gatekeepers.
- Ensuring appropriate documentation is entered in standard format on the patient record.
- Contacting physicians to resolve issues regarding prior authorization or referral forms.
- Researching Patient Visit History to ensure compliance with payor specific payment window rules.
- Communicating with hospital-based Case Managers as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues.
This role requires excellent communication, customer orientation, interpersonal skills, and problem-solving abilities. You must be able to work effectively with other employees, patients, and external parties.
Auxis offers a competitive salary range of $40,000 - $60,000 per year, depending on experience. Benefits include health benefits, transportation subsidy, asociacion solidarista, training and development programs, employee recognition program, paid time off, family paid leave, and paid day off for your birthday.
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