Insurance Benefit Coordinator (Healthcare - US Based Client)

• →Provides timely acceptance and completion of new referrals.
• →Performs in-depth benefit verification.
• →Reviews insurance medical policy requirements and FDA guidelines.
• →Obtains all needed information from the MD office for insurance authorizations.
• →Submits requests for insurance authorization, following up on denials, peer-to-peer reviews, and appeals.
• →Answers calls from queue and assists callers in a timely and polite manner.
• →Gives high priority to client satisfaction and anticipates customer needs.
• →Provides excellent internal and external customer service by ensuring work meets quality standards; sets high goals or standards of performance for self; takes pride in his/her work and completes work on schedule.
• →Demonstrates adaptability to an increasingly complex and changing environment; maintaining composure under pressure.
• →Takes initiative to present ideas and suggestions for process improvements to the team lead, supervisors, and management.
• →Maintains industry knowledge regarding insurance authorization requirements, limitations, and exceptions.
• →Performs other duties and projects as assigned.

• Adaptability
• Communication
• Dependability
• Detail Oriented
• Patient/Customer Focus
• Planning and Organizing
• Positive Impact
• Teamwork

• Bachelor's Degree of any related course preferred
• Proficient in Microsoft Office Suite, EMR software
• Strong background in Insurance Verification.
• Background in Insurance Authorization.
  
• Ability to interpret medical results.
• Familiar with the medical procedure codes.
• Understands the difference between medical and pharmacy benefits.
• Atleast 2 years working experience handling Insurance benefits.
• Must uphold all principles of confidentiality and patient care to the fullest extent while adhering to and complying with the Health Insurance Portability and Accountability Act (HIPAA) at all times.
• Experience handling US Client/Customer is a plus.
• Knowledge of, and sensitivity to, cultural and language differences.
• Able to perform basic mathematical computations.
• Amenable to work ONSITE.
• Willing to work following the US Timezone.

WHY INTELASSIST?
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