Job Location : Tampa,FL, USA
Job Description: Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor's degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills. Responsibilities: • Obtain and verify insurance eligibility for services provided and document complete information in system • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies • Collect any clinical information such as lab values, diagnosis codes, etc. • Determine patient's financial responsibilities as stated by insurance • Configure coordination of benefits information on every referral • Ensure assignment of benefits are obtained and on file for Medicare claims • Bill insurance companies for therapies provided • Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs • Handle inbound calls from patients, physician offices, and/or insurance companies • Resolve claim rejections for eligibility, coverage, and other issues Comments for Vendors: EEO: Mindlance is an Equal Opportunity Employer and does not discriminate in employment on the basis of - Minority/Gender/Disability/Religion/LGBTQI/Age/Veterans. Centene Job Description Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor's degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills. Responsibilities: • Obtain and verify insurance eligibility for services provided and document complete information in system • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies • Collect any clinical information such as lab values, diagnosis codes, etc. • Determine patient's financial responsibilities as stated by insurance • Configure coordination of benefits information on every referral • Ensure assignment of benefits are obtained and on file for Medicare claims • Bill insurance companies for therapies provided • Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs • Handle inbound calls from patients, physician offices, and/or insurance companies • Resolve claim rejections for eligibility, coverage, and other issues Story Behind the Need