Pre Certification Coordinator

Cencora | Pharma solutions; Deutschland; Remote; EUR 40.000 - 60.000; Vollzeit

Zusammenfassung

A leading fertility clinic network is seeking an experienced Pre-Authorization Coordinator to work remotely. The ideal candidate will ensure that patient insurance benefits are verified, communicate coverage details, and serve as a patient advocate. Candidates with at least 2 years of relevant experience and excellent communication skills are encouraged to apply. This position offers a pay range of $21.00 - $23.00 per hour.

Qualifikationen

• At least 2 years of benefit verification and authorization experience.
• Strong knowledge of insurance benefits and Managed Care policies.
• At least 3 years of experience in a healthcare environment, preferably in a fertility clinic.

Aufgaben

• Verify patient insurance benefits and communicate details.
• Advise patients on coverage, limitations, and requirements.
• Handle patient payments and billing questions.

Kenntnisse

Benefit verification and authorization

Healthcare front desk experience

Knowledge of insurance benefits

Excellent communication skills

Customer service skills

Jobbeschreibung

About Kindbody

Kindbody is a leading fertility clinic network and family-building benefits provider for employers, offering comprehensive virtual and in-person care. Our clinically managed program includes fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as physical, mental, and emotional support from preconception through postpartum. We are the trusted fertility benefits provider for more than 110 employers, covering over 2.4 million lives. Many more receive their fertility care directly from Kindbody at signature clinics, mobile clinics, and partner clinics nationwide. As a fertility benefits provider, technology platform, and direct provider of high-quality care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower costs, making fertility care more affordable and accessible for all.

About the Role

We are seeking an experienced Pre-Authorization Coordinator to work in a fast-paced, rapidly growing environment. You will be relied upon for your expertise, professionalism, and collaboration. This is a full-time remote position.

Responsibilities

1. Verify patient insurance benefits.
2. Explain insurance coverage and treatment costs, and identify the need for pre-authorizations.
3. Advise patients of coverage, limitations, exclusions, co-insurance, deductibles, and program requirements.
4. Communicate coverage details to patients and clinics.
5. Determine patient responsibility amounts in advance of procedures.
6. Serve as a Patient Advocate when patients have difficulty navigating insurance issues.
7. Respond to patient calls and correspondence regarding billing questions, policies, and claims.
8. Review medical records for authorization requirements.
9. Communicate preauthorization requirements and updates to clinics.
10. Update patient accounts with insurance information and changes, ensuring proper documentation.
11. Respond to high volumes of inquiries professionally, resolving issues within designated timeframes.
12. Meet positional metrics and benchmarks.
13. Handle patient payments and bill processing ethically and accurately.
14. Follow all department standard operating procedures.
15. Perform other duties as assigned by the supervisor.

General Administrative Duties:

1. Manage inbound customer communications via phone, email, and chat, ensuring timely responses.
2. Maintain clear communication with clinics regarding insurance requirements.
3. Assist with other duties and projects as needed.

Who You Are

• At least 2 years of benefit verification and authorization experience (strongly preferred).
• At least 3 years of healthcare front desk, billing, or related experience in a fast-paced, customer-focused environment; fertility clinic experience is a plus.
• Strong knowledge of insurance benefits and Managed Care policies.
• A passion for women’s health and fertility is a plus.
• Excellent written and verbal communication skills; team player.
• Flexible, adaptable, able to multi-task and troubleshoot problems.
• Detail-oriented with strong organizational skills.
• Exceptional customer service skills and professionalism.
• Knowledge of medical terminology.

Job Type: Full-time

Pay: $21.00 - $23.00 per hour

Work Location: Remote