Patient Navigator/Insurance Verification Specialist

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Patient Navigator/Insurance Verification Specialist
Are you passionate about healthcare and helping others? CoreLife is seeking a dedicated and detail-oriented Patient Navigator/Insurance Verification Specialist to join our Silver Spring, MD office team. As our patients' first point of contact, you will play a crucial role in verifying insurance coverage, collaborating with insurance companies to resolve authorization issues, and ensuring a smooth experience for new patients.

At CoreLife, we understand that obesity and chronic illnesses are not isolated conditions but are deeply intertwined with social determinants and root causes. Our integrated care model addresses these complexities head-on, seamlessly coordinating medical treatments, nutritional guidance, behavioral support, and personalized exercise regimens. By focusing on evidence-based practices, we empower patients to take control of their health and achieve sustainable results. In partnership with MedStar Health, CoreLife does not simply treat obesity symptoms; we are combating obesity as the disease it is. Join us in revolutionizing healthcare. 

MAJOR RESPONSIBILITIES:

• Verify insurance coverage for all new patients, including eligibility, coverage, authorization, and referrals.
• Meet daily, weekly, and monthly quotas for completed verifications.
• Educate patients and staff on coverage and eligibility questions.
• Engage in heavy phone communication with insurance companies to resolve verification issues.
• Ensure all patient demographics are accurate and up-to-date.
• Meet timeline requirements in a fast-paced environment.
• Serve as the primary resource for researching and generating qualified new patient leads through doctor referrals and website activity.
• Identify, contact, and track prospective patients, generating leads and re-engaging inactive patients through outbound calls, emails, campaign letters, and other communication channels.
• Conduct needs assessments to match prospective patients' needs with CoreLife services.
• Maintain leads in the prospecting database for weekly reporting.
• Collaborate with the Corporate, Marketing, and other teams to establish processes for following up and qualifying campaign leads.
• Other duties as assigned.

QUALIFICATIONS:

• Education: A high school diploma or GED is required; an associate’s degree is preferred.
• Experience: 
  • At least one year of experience working with insurance companies and understanding coverage and policies.
  • At least one year of customer service experience.
  • Call Center Experience: At least one year of experience working in a call center environment, handling high-volume inbound and outbound calls, and managing customer inquiries effectively.
• Skills: Strong customer service skills, excellent multitasking abilities, and critical thinking. Proficient in decision-making, problem-solving, and collaboration. Ability to communicate effectively in writing and verbally with patients, the public, and medical staff.

AS A CORELIFE TEAMMATE, YOU CAN EXPECT:

• Values-based culture
• A competitive hourly rate ($20 - $22)
• Medical, dental, and vision insurance
• Wide selection of ancillary benefits
• Paid time off
• 7 paid holidays
• Retirement plan

CoreLife is an Equal Opportunity Employer. APPLY NOW

Salary : $20 - $22