Pre Certification Coordinator

Kindbody; United States; Remote; USD 45,000 - 70,000; Full time

Job summary

An innovative healthcare organization is seeking a dedicated Pre Authorization Coordinator to join their dynamic team. In this full-time remote role, you will leverage your expertise in benefit verification and authorization to ensure patients receive the care they need. Your responsibilities will include verifying insurance benefits, communicating coverage details, and serving as a Patient Advocate. With a strong emphasis on customer service and professionalism, you'll thrive in a fast-paced environment that values collaboration and ethical standards. If you have a passion for women's health and a commitment to excellence, this opportunity is perfect for you.

Benefits

401(k)

Dental insurance

Health insurance

Paid time off

Qualifications

• 2+ years of benefit verification and authorization experience preferred.
• 3+ years of healthcare front desk or billing experience in a fast-paced environment.

Responsibilities

• Verify patient insurance benefits and explain coverage and treatment costs.
• Serve as a Patient Advocate and respond to patient inquiries regarding billing.
• Maintain high ethical standards in handling patient payments and billing.

Skills

Benefit Verification

Authorization Experience

Insurance Knowledge

Customer Service

Medical Terminology

Communication Skills

Organizational Skills

Job description

About the Role

As an experienced Pre Authorization Coordinator, you will be working in a fast-paced, rapidly growing environment where your expertise, professionalism, and collaboration are essential. This role is a full-time remote position.

Responsibilities

• Verify patient insurance benefits
• Explain insurance coverage and treatment costs, and identify the need for pre-authorizations
• Advise patients of coverage, limitations, exclusions, co-insurance, deductibles, and program requirements
• Communicate coverage details effectively
• Determine patient responsibility amounts in advance of procedures
• Serve as a Patient Advocate when patients have difficulty navigating insurance processes
• Respond to patient calls and correspondence regarding billing, financial policies, and claims
• Review medical records for authorization requirements
• Inform clinics about pre-authorization requirements and any updates
• Update patient accounts with insurance coverage and information changes, ensuring proper documentation
• Handle a high volume of inquiries professionally and resolve issues within specified timeframes
• Meet positional metrics and benchmarks
• Maintain high ethical standards in handling patient payments and billing
• Follow all department standard operating procedures accurately
• Perform other duties as assigned by the Director

General Administrative Duties

• Manage inbound communications via phone, email, and chat, ensuring timely responses
• Maintain clear communication with clinics regarding insurance requirements
• Assist with other duties and projects as assigned

Who You Are

• 2+ years of benefit verification and authorization experience preferred
• 3+ years of healthcare front desk or billing 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; fertility experience is a plus
• Excellent written and verbal communication skills and a team-oriented attitude
• Flexible, adaptable, able to multi-task and troubleshoot
• Detail-oriented with strong organizational skills
• Exceptional customer service skills and professionalism
• Medical terminology knowledge

Job Type: Full-time

Benefits

• 401(k)
• Dental insurance
• Health insurance
• Paid time off

Work Location: Remote