Insurance Verification Coordinator

The daily functions of the Insurance Verification Coordinator includes verification of insurance coverage, re-verifying coverage for existing patients, enter and update patient demographics into the computer system, and securing reimbursement related paperwork for our specialty infusions. Generate price/coverage quotes. Acts as the point of contact for Account Manager insurance verification, referrals and authorizations.

Responsibilities

• Meets turnaround expectations for specialty infusions as directed by the business.

• Work effectively and maintain expected productivity.

• Enter and update patient demographics into the computer system.

• Verify insurance coverage, calculate costs and document details in the patient profile.

• Medical vs pharmacy benefit determination.

• Coordinates and communicates with Account Manager and other single points of contact to expedite insurance checks, authorizations and referrals.

• Meets turnaround expectations for specialty infusions as directed by the business.

• Generate a financial responsibility letter.

• Review benefits with patient via phone.

• Identify copay/foundation assistance and/or donated drug.

• Track, monitor and secure necessary insurance documents.

• Work with the authorizations and patient advocacy teams to coordinate a complete benefit investigation review.

• Coordinate completion of Financial Assistance forms, payment agreements and waivers, as needed.

• Organize and prioritize tasks to be completed.

• Give high priority to client satisfaction and customer needs.

• Cooperate with other staff members when planning and organizing reimbursement activities.

• Demonstrates the ability to work effectively and maintain expected productivity.

• Meets quality standards, shows pride in performance, and demonstrates reliability and follow-through on all assigned tasks.

• Assist with researching reimbursement issues, as needed.

• Performs in accordance with system-wide competencies/behaviors.

• Performs other duties as assigned.