Center Liaison

Responsibilities

• Verify insurance for all scheduled appointments and enter accurate data into patient accounts.
• Determine patient eligibility, including coverage levels and out-of-pocket expenses.
• Communicate insurance coverage details to clinical centers promptly and clearly.
• Submit and secure prior authorizations and referrals from primary care providers.
• Facilitate and track patient referrals to internal and external providers.
• Interpret insurance explanation of benefits (EOBs).
• Notify the supervisor of any trends or irregularities in insurance coverage or billing.
• Respond to inquiries from insurance companies, patients, and providers.
• Provide backup support to the billing team during high-volume periods or staff absences.
• Meet regularly with the RCM Director to address eligibility issues and billing challenges.

Qualifications

• A high school diploma or equivalent.
• A minimum of 2 years of experience in medical billing.
• Preferred skills include proficiency in eligibility verification, claim submissions, and insurance follow-ups; experience handling authorizations, referrals, rejections, and denials; strong ability to prioritize tasks and work independently with minimal supervision; capability to maintain focus in a fast-paced environment; outstanding customer service and interpersonal skills; strong written and verbal communication abilities; high level of accuracy and attention to detail; dependability, flexibility, and adaptability; familiarity with email, internet, and payer portals.