What are the responsibilities and job description for the Benefits Eligibility Coordinator position at Insight Global?
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