POSITION SUMMARY
The Insurance Coordinator position verifies patient eligibility and benefits, provides estimates for in office services and surgical procedures, follows up on patient referrals and answers incoming billing questions from patients.
ESSENTIAL DUTIES AND RESPONSIBILITIES
The essential functions include, but are not limited to the following:
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Answers incoming billing questions and concerns from patients
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Obtains patient eligibility status and benefit verification
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Compiling medical records as needed
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Verifies patient referral status
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Answers questions from patients, staff and insurance companies
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Identifies and prepares patient refunds
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Prepares, reviews, and sends patient statements
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Evaluates patients financial status and establishes budget payment plans; follows and reports status of delinquent accounts
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Reviews accounts for possible assignment and makes recommendations to the Supervisor; prepares information for the collection agency
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Performs various collections actions including contacting patients by phone; correcting and resubmitting claims to third party payers
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Maintains strict confidentiality; adheres to HIPAA guidelines and regulations
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Performs other work related duties as assigned
MINIMUM QUALIFICATIONS (KNOWLEDGE, SKILLS AND ABILITIES)
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Knowledge of medical billing/collection practice
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Knowledge of business office procedures
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Knowledge of basic medical coding and third-party operating procedures and practices
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Ability to maintain effective working relationships with patients and employees
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Ability to operate a computer, computer software and basic office equipment
PHYSICAL DEMANDS AND WORK ENVIRONMENT
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the functions. While performing the duties of this position, the employee is regularly required to talk or hear. The employee is regularly required to use hands or fingers, handle or feel objects, tools, or controls. The employee is regularly required to stand; walk; sit; occasionally stoop, kneel, crouch, crawl; and reach with hands and arms. The employee must occasionally lift and/or move up to 25 pounds without supervision. Specific vision abilities required by this position include close vision, distance vision, and the ability to adjust focus. The noise level in the work environment is usually low to moderate.