Insurance Coordinator

About the Company

HearingLife is a national hearing care company and part of the Demant Group, a global leader in hearing healthcare built on a heritage of care, health, and innovation since 1904. HearingLife operates more than 600 hearing care centers across 42 states. We follow a scientific, results-oriented approach to hearing healthcare provided by highly skilled and caring professionals. Our vision is to help more people hear better through life-changing hearing health delivered by the best personalized care.

About the Role

Reporting to the Financial Clearance Supervisor, the Insurance Coordinator is responsible for helping clinics and patients with insurance eligibility verification, obtaining comprehensive testing and device benefit information, securing prior and retro-authorizations, and assisting with claims creation. The role involves communication via phone, internet, and email with insurance carriers and clinics to ensure timely and accurate delivery of verification-related requests. The Insurance Coordinator serves as a resource for the insurance verification and authorization process for patients and clinicians in assigned regions.

Responsibilities

• Obtain insurance benefit information, verify insurance eligibility for services and/or devices, and document verification information into our system(s).
• Obtain prior authorizations as required, including procurement of needed documentation by collaborating with clinicians/clinics and insurance companies.
• Ensure all necessary documentation is uploaded into the system.
• Request and obtain Worker’s Compensation approvals from various vendors when required.
• Act as liaison between clinic staff and insurance companies to ensure all inquiries are addressed and work directly with clinics on all insurance-related matters (verification, authorizations, Workers Compensation requests, etc.).
• Provide support to clinics for any insurance-related questions, including benefit interpretation.
• Participate in training clinic staff on insurance-related matters in the assigned region.
• Provide outstanding customer service when handling inbound/outbound calls regarding eligibility or authorization.
• Ensure any coverage restrictions are documented and addressed to avoid denials.
• Act as a reference source for other team members and assist in resolving insurance issues or questions.
• Review the pending claims report and address any outstanding issues causing payment delays.

Duties, responsibilities, and activities may change or new ones may be assigned at any time with or without notice.

Requirements

• High School Diploma or GED.
• 2+ years’ experience with benefit verifications and insurance eligibility checks.
• 1+ years’ experience with requesting and obtaining authorizations with commercial and Medicaid insurance carriers.
• 2+ years’ experience working in a medical office or hospital setting.
• Experience with Worker’s Compensation preferred.
• Basic medical coding knowledge, insurance guidelines, and HIPAA.
• Excellent customer service skills.
• Detail-oriented and organized.
• Proficient with Microsoft Office, specifically Word, Excel, Outlook, and Teams.
• Ability to multi-task and manage a large number of requests within assigned timeframes.
• Ability to work in a fast-paced environment.
• Ability to process 50+ verifications a day.
• Prior knowledge of workers compensation and DOL is a plus.

Pay

$19 - $22 hourly.

Schedule

Work hours would be aligned to Eastern Standard Time.

Benefits

• 401K
• Tuition Assistance program
• Paid Time Off package