Benefits Eligibility Coordinator - Nashville, United States - Insight Global
Description
Hybrid- 3 days on site (have to be onsite Wednesday and other two days they can choose)
Verify all new, returning, and annual patient eligibility including private, government and third party insurance information within assigned territory or clinics.
Verify if any prior authorizations are required pre-treatment such as HMO or PCP authorizations initiating authorization request and confirming with the office staff once received
Verify and obtain authorization if required for services ordered
Utilize online insurance portals and eligibility tools in order to obtain accurate verifications
Provide accurate and timely estimated patient responsibility amounts to patient service staff members.
Coordinate with Financial Counselor, Patient Navigator and front office staff to ensure smooth collection process.
Maintains appropriate documentation in clinic systems and EMR.
Communicate with patients as needed in order to obtain updated insurance information
Update patient account with all necessary insurance information
Contribute to the design of a centralized VOB model working closely with the ION Revenue Cycle Managers
Maintain excellent customer service and kindness with all patients and staff
Regular attendance and punctuality.
Execute all functions of the role with positivity and team effort by accomplishing related results as needed.
Ensures that all processing and reporting deadlines are consistently achieved.
Perform any other functions as required by management
We are a company committed to creating diverse and inclusive environments where people can bring their full, authentic selves to work every day.
Qualified candidates will receive consideration for employment regardless of their race, color, ethnicity, religion, sex (including pregnancy), sexual orientation, gender identity and expression, marital status, national origin, ancestry, genetic factors, age, disability, protected veteran status, military or uniformed service member status, or any other status or characteristic protected by applicable laws, regulations, and ordinances.
If you need assistance and/or a reasonable accommodation due to a disability during the application or recruiting process, please send a request to .
To learn more about how we collect, keep, and process your private information, please review Insight Global's Workforce Privacy Policy:.
Required Skills & Experience
Minimum of 2 years in benefits, eligibility, verifications, etc
Insurance knowledge (Medicare/Medicaid)
Knowledge of basic medical terminology, ICD-10 and CPT codes
High school graduate or equivalent
Nice to Have Skills & Experience
Previous oncology background preferred
Basic Excel knowledge
Benefit packages for this role will start on the 31st day of employment and include medical, dental, and vision insurance, as well as HSA, FSA, and DCFSA account options, and 401k retirement account access with employer matching.
Employees in this role are also entitled to paid sick leave and/or other paid time off as provided by applicable law.
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