Demo

Insurance Verification Coordinator

A-Line Staffing Solutions
Houston, TX Full Time
POSTED ON 3/3/2025
AVAILABLE BEFORE 6/2/2025

Full time Insurance Verification Coordinator openings in the Houston, TX 77043 area with a major healthcare company! Starting ASAP!! Apply now to Luke H. with A-Line!

Position Purpose : Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits

PAY RATE : $17.00-$18.00 per hour

Shift Hours : 2 weeks for training on Mon-Fri from 8am-5pm. After training then switches to 9am-6pm.

Responsibilities :

  • Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits
  • Obtain and verify insurance eligibility for services provided and document complete information in system
  • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
  • Collect any clinical information such as lab values, diagnosis codes, etc.
  • Determine patient’s financial responsibilities as stated by insurance
  • Configure coordination of benefits information on every referral
  • Ensure assignment of benefits are obtained and on file for Medicare claims
  • Bill insurance companies for therapies provided
  • Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
  • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
  • Handle inbound calls from patients, physician offices, and / or insurance companies
  • Resolve claim rejections for eligibility, coverage, and other issues

Required Qualifications :

  • 1 years of medical billing or insurance verification experience.
  • Pharmacy and prescription benefit experience needed.
  • Strong customer service skills.
  • High school diploma or GED.
  • Preferred Qualifications :

  • Bachelor’s degree in related field can substitute for experience.
  • Experience with payors and prior authorization preferred.
  • Pharmacy software knowledge would be a nice to have
  • Bilingual is preferred but not required
  • Why Apply :

  • Full benefits available after 90 days : Medical, Dental, Vision, Life, Short-term Disability
  • 401k after 1 year of employment : With employer match and profit sharing
  • GREAT Hours! Monday through Friday, 40 hours per week, No Weekends
  • Competitive Pay Rate!
  • Keywords : Benefit Verification, Medical Billing, Medical Coding, PBM, Pharmacy Technician, Provider Enrollment, Data Entry, Healthcare, Admin Assistant, Call Center, Mail Order Medications, Insurance Verification, Pharmacy, Prior Authorization, Reimbursement Counselor, Medical Customer Service, Inbound Calls, Outbound Calls.

    Salary : $17 - $18

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