Insurance Verification Coordinator

CarepathRx transforms hospital pharmacy from a cost center into an active revenue generator through a powerful combination of technology, market-leading pharmacy services and wrap-around services.

Job Details:

Manage the daily functions of the Insurance Verification area including verification of insurance coverage, re-verifying coverage for existing patients, enter and update patient demographics into the computer system, and securing reimbursement related paperwork. Support the Supervisor of Insurance Verifications with case management, price quotes, price negotiation, and spot deals.

Responsibilities

• Work effectively and maintain expected productivity.
• Coordinate completion of Financial Assistance forms, payment agreements and waivers.
• Enter and update patient demographics into the computer system.
• Generate financial responsibility letter.
• Track, monitor, and secure clinical documentation, AOB's etc. based upon insurance carrier requirements.
• Assist in training of new employees.
• Create new hospital and physician codes as needed.
• Give high priority to client satisfaction and customer needs.
• Cooperate with other staff members when planning and organizing reimbursement activities.
• Prioritize activities needed to be done.
• Verify patients' insurance benefits for therapies prior to servicing the patient
• Assist in generating price quotes.
• Review benefits and financial responsibility with patient or family member.
• Obtain prior authorizations as required.
• Assist in price negotiation with case managers.
• Assist in researching reimbursement issues.
• Performs in accordance with system-wide competencies/behaviors.
• Performs other duties as assigned.

Skills & Abilities

• Excellent written and verbal communication
• Organization
• Time Management
• Professional

Requirements

• Associates degree OR equivalent combination of education and experience. 2-3 years of experience in home IV therapy and/or insurance verifications.
• Knowledge of medical terminology preferred
• Capable of managing multiple priorities.
• Excellent math skills

CarepathRx provides equal employment opportunity to all qualified applicants regardless of race, color, religion, national origin, sex, sexual orientation, gender identity, age, disability, genetic information, or veteran status, or other legally protected classification in the state in which a person is seeking employment. Applicants encouraged to confidentially self-identify when applying. Local applicants are encouraged to apply. We maintain a drug-free work environment. Applicants must be eligible to work in this country.