Therapy Author Coordinator – Insurance & Referrals

Tennessee Orthopaedic Alliance; Clarksville (TN); Presencial; USD 38 000 - 52 000; Tempo integral

Resumo da oferta

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Nashville and Middle Tennessee, seeks an insurance verification specialist to verify coverage, process referrals and precertifications, and resolve billing issues. You will access insurance information, correct data in the system, and communicate with patients, families, and providers.

Requirements include a high school diploma and 2–4 years in insurance verification, with strong attention to detail and the ability to

Qualificações

• High school diploma required.
• 2-4 years of experience in insurance verification preferable.
• Experience reading and understanding payer eligibility electronic returns; differentiate between plans, copay, deductible, coinsurance.
• Must meet average expectations for daily site verifications.
• Accuracy, attention to detail, ability to follow directions, organize and prioritize daily tasks.

Responsabilidades

• Place phone calls to patients, family, insurance companies, and facility personnel to verify information.
• Resolve issues with coverage, referrals, precertification; elevate complex issues to manager.
• Enter and ensure insurance information is correct in the system and rebill if needed.
• Familiar with facility concepts, practices, and procedures to plan and accomplish goals.

Formação académica

High school diploma

Descrição da oferta de emprego

Tennessee Orthopaedic Alliance, the largest orthopaedic surgery group in Nashville and Middle Tennessee, seeks an insurance verification specialist to verify coverage, process referrals and precertifications, and resolve billing issues. You will access insurance information, correct data in the system, and communicate with patients, families, and providers.

Requirements include a high school diploma and 2–4 years in insurance verification, with strong attention to detail and the ability to