Insurance Verification Coordinator

Hiring range: $18.20 - $23.68/hourly. Actual pay is determined based on job-related factors such as relevant experience, education, credentials, skills, internal equity, and business needs.

Overview

Responsible for verifying insurance eligibility and benefits, obtaining authorizations and providing patient estimates. Researches, follows-up and resolves open and pending authorizations in a timely manner. Monitors work queues, managing workload and completing accounts effectively.

Responsibilities

• Obtains, validates and updates insurance information in the database, verifying eligibility and benefits.
• Utilizes effective and professional communication with patients, physicians' offices, and staff.
• Calculates and provides patient estimates and financial obligations.
• Ensures collection and/or notification of payment due for services to be rendered.
• Provides information and resources for patients regarding RHS financial assistance and self-pay processes.
• Verifies and/or obtains the necessary referral, authorization, or pre-certification prior to services being provided as required by payer.
• Researches and obtains missing information from provider practices, providing timely notification of issues, denials, and/or need for peer to peer.
• Monitors work queues, managing workload and completing accounts in a timely manner; follows current department workflows, staying up to date on changes.
• Utilizes Riverside Care Difference principles in all interactions and maintains strict confidentiality in all matters relating to PHI.
• Identifies issues and trends related to pending/denied authorizations, escalating to team lead and/or manager.
• Participates in continuing education and other learning experiences, sharing gained knowledge with team.
• Navigates online portals and systems to determine authorization requirements; catalogs and tracks authorization requests.

Requirements

• High School Diploma or GED (Required)
• 1 year Revenue Cycle experience (Required)

Qualifications

• Certified Healthcare Access Associate (CHAA) - National Association of Healthcare Access Management (NAHAM) (Preferred)

Pay

$18.20 - $23.68/hourly