Job Description

Insurance Verification & Referral Coordinator (Healthcare BPO) - Onsite/Night Shift

Job Description:

  • Check and run real-time eligibility for current insurance(s)
  • Initiate contact with insurance companies via internet, phone, or fax for verification or referral for outpatient services
  • Secure demographic and insurance information (primary, secondary, tertiary, worker's compensation, MVA, etc.) prior to patient visit
  • Coordinate with clinic staff regarding schedule changes based on insurance/referral status
  • Review and respond to provider inquiries and requests
  • Review patient medical history/records with attention to detail
  • Manage 60-80 faxes per day
  • Document and attach scans of all verification/referral documents to patient's EMR
  • Follow U.S. HIPAA guidelines for security and PHI

Requirements:

  • At least 2+ years' experience with insurance verification and referral procedure...

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