Front Desk/Insurance Coordinator

Full Job Description

Essential Job Duties

• Accurately verify benefits and eligibility to ensure that our patients can make informed decisions in regards to the cost associated with their healthcare plan.
• Research, review, and effectively document benefits and eligibility within our systems.
• Effectively communicate verification information both internally and externally to ensure that coverage is in place and claims are paying accurately.
• Successfully schedule our patients with the goal of exceeding their expectations timely, convenient, and with the right provider or specialist.
• Provides an exceptional level of customer service to referring providers and patients by functioning as central point of contact to determine the most appropriate clinic for the patient and schedule an evaluation within 48 hours.
• Provides a communication hub to and from the company, patients, clinic teams, referring providers, and payers in regards to insurance plan and benefit knowledge.
• Act as a resource for insurance-related questions and needs, as a subject-matter expert and specialist in their field.
• Process new patient enrollments in a timely manner ensuring accuracy of data entry and communication of information by being in constant communication with all Spooner clinics in order to facilitate a smooth transition for the patient.
• Develop a seamless relationship between the Central Client Services team and the Revenue Cycle Management team to ensure efficiency and value in reimbursements.
• Obtain initial insurance authorization when required for all new patients/initial evaluations.
• Ensure all patient records are accurate, complete, compliant, current and managed.

Education and Experience

• Ability to work under pressure and remain flexible to changing schedules and demands
• Excellent customer service skills
• Excellent oral and written communication and listening skills
• Ability to clearly and effectively communicate to both external and internal customers
• Excellent organizational skills (multi-tasking, prioritizing and following up)
• Demonstration of teamwork and initiative to get the job done
• Ability to apply common sense, understanding, and problem solving to daily activities
• 1-2 years Scheduling/Verifications experience preferred
• Bilingual (English/Spanish) strongly preferred

Primary duties include the following:

• Performs insurance benefits verification with commercial and government payers
• Obtain pre-certification and authorizations and referrals as required by payer guidelines
• Communicate with patients regarding their medical benefit policies
• Coordinate patient assistance programs to minimize patient out of pocket costs
• Communicate with referring providers and medical assistants to ensure continuity of care
• Schedule patient infusion visits and maintain EMR records
• Anticipate patient needs and follow-up proactively
• Protect patient rights by maintaining confidentiality of personal and financial information.
• Answer incoming calls in a friendly and courteous manner
• Review charts and reach out to providers as needed to verify or validate orders.

Job Type: Full-time

Benefits:

• Dental insurance
• Health insurance
• Paid time off

Schedule:

• Monday to Friday

Work Location: In person