Remote Insurance Verification & Authorization Coordinator

Allegheny Health Network; United States; Remoto; USD 42.000 - 58.000; Tempo pieno

Descrizione del lavoro

Graham Healthcare Group seeks a Hospice Insurance Verification & Authorization Coordinator to support multiple service lines nationwide. The role ensures benefit information, patient liability, and authorizations are secured before care begins, coordinating with billing, scheduling, and clinical staff.

You will supervise the insurance verification team, monitor workflows, and maintain payer portals while guiding staff and handling escalations.

Competenze

• Knowledge of Insurance/verification of insurance.
• Excellent customer service.
• Detail oriented.
• Must demonstrate leadership abilities.
• Good organizational skills.
• Able to effectively manage concurrent demands and multi-task.
• Detail oriented.
• Effective verbal and written communication skills.
• Proficient in Microsoft Office suite.

Mansioni

• Interact with patient and patient’s family to coordinate the co-pays and deductibles for patients.
• Responsible for managing time off requests and timekeeping for insurance & authorization verification staff.
• Responsible for managing the insurance and authorization verification process.
• Daily review of problems related to all insurance changes.
• Daily/continuous monitoring of task flow screen related to all authorization issues including reauthorization needs and updating with actual authorizations.
• Assist scheduling with funding source problems related to scheduling visits to clinical staff.
• Assist billing department insurance verification discrepancies or authorization discrepancies which could hold up claim submission.
• Establish a thorough knowledge of all payer portals.
• Think critically and act independently when resolving benefit discrepancies and escalate bad debt/write-offs when needed.
• Participate in interviews and assist in developing procedures to onboard new hires and retain current staff.
• Address timeliness and effectiveness of department activities based on reports and daily monitoring.
• Responsible for team members’ performance evaluation and disciplinary actions with supervisor oversight.
• Weekends, holidays and after hours based on business needs.

Conoscenze

Insurance verification

Authorization coordination

Customer service

Leadership abilities

Time management

Detail oriented

Microsoft Office

Formazione

Associate degree

Strumenti

Microsoft Office Suite

Descrizione del lavoro

Graham Healthcare Group seeks a Hospice Insurance Verification & Authorization Coordinator to support multiple service lines nationwide. The role ensures benefit information, patient liability, and authorizations are secured before care begins, coordinating with billing, scheduling, and clinical staff.

You will supervise the insurance verification team, monitor workflows, and maintain payer portals while guiding staff and handling escalations.