Demo

Benefits Eligibility Coordinator

Insight Global
Nashville, TN Full Time
POSTED ON 3/4/2025
AVAILABLE BEFORE 4/27/2025

Essential Functions:

  • Verify all new, returning, and annual patient eligibility including private, government and third party insurance information within assigned territory or clinics.
  • Verify primary, secondary & tertiary medical benefits and patient responsibility such as deductible, out of pocket, copay and coinsurance.
  • Verify if any prior authorizations are required pre-treatment such as HMO or PCP authorizations initiating authorization request and confirming with the office staff once received
  • Verify and obtain authorization if required for services ordered
  • Utilize online insurance portals and eligibility tools in order to obtain accurate verifications
  • Provide accurate and timely estimated patient responsibility amounts to patient service staff members.
  • Coordinate with Financial Counselor, Patient Navigator and front office staff to ensure smooth collection process.
  • Maintains appropriate documentation in clinic systems and EMR.
  • Communicate with patients as needed in order to obtain updated insurance information
  • Update patient account with all necessary insurance information
  • Contribute to the design of a centralized VOB model working closely with the ION Revenue Cycle Managers
  • Maintain excellent customer service and kindness with all patients and staff
  • Regular attendance and punctuality.
  • Execute all functions of the role with positivity and team effort by accomplishing related results as needed.
  • Ensures that all processing and reporting deadlines are consistently achieved.
  • Perform any other functions as required by management

Qualifications and Education Requirements

  • Minimum of 2 years in benefits, eligibility, verifications, etc
  • Insurance knowledge (Medicare/Medicaid)
  • Knowledge of basic medical terminology, ICD-10 and CPT codes
  • High school graduate or equivalent

Preferred Skills

  • Previous oncology background preferred
  • Basic Excel knowledge

Salary : $20 - $22

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