Insurance Eligibility Coordinator
$43,680–$52,000 year
On-siteMontrose, California, United States
Job Summary
Submit authorization requests to assigned payers using paper forms, portals, or fax, and complete follow-up to ensure timely turnaround and approval. Verify insurance eligibility, collect demographic and financial information from patients, and contact departments regarding negative outcomes. Assist billing with claims issues resulting from denials and negotiate payment reimbursement from third-party payers. Maintain progress reports on outstanding authorizations and document interactions while following approved guidelines and policies. Work closely with clinical teams and referral sources regarding current and future authorization needs.
Required Qualifications
- Minimum of 1 year of experience in an insurance benefits coordinator role
- Minimum of 1 year of experience using EMR softwares
- Medical billing: 1 year
- High school or equivalent
- Ability to follow a written script
- Ability to submit comprehensive summary reports and other written materials
- Ability to multi-task in a fast-paced environment
- Strong technical aptitude to not only operate standard office equipment but also relevant software such as Microsoft Word, Excel, Outlook, EMR & Practice Management Systems and other applications
- Plan, organize, prioritize, and perform duties in accordance with department policy and procedure as assigned with minimal supervision
- Establish and maintain effective working relationships with our patients and all levels of staff
Desired Qualifications
- preferably in a home health setting
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