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Lead Intake & Insurance Verification Coordinator
Centene CorporationLead Intake & Insurance Verification Coordinator position at Centene, overseeing insurance verification and managing referral processes. Role requires experience in medical billing and customer support.
About the role
Key responsibilities & impact- Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits
- Assist with managing the work load to ensure that referrals and orders are handled in a timely manner
- Monitor each queue through various reports and redistribute work as appropriate
- Serve as the point of contact for key physicians’ offices and coordinate referrals with the sales team during insurance verification process
- Serve as the point of contact or designated rep for contracted payors
- Serve as the point of contact or designated rep for special pharma accounts working with their HUB’s and collecting and documenting pharma-specific data in the system
- 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
- Performs other duties as assigned
- Complies with all policies and standards
Requirements
What you’ll need- High school diploma or equivalent
- 3+ years of medical billing, insurance verification experience, call center, and/or previous experience as a lead managing cross functional teams required
- Experience with payors and prior authorization requirements
Benefits
Comp & perks- competitive pay
- health insurance
- 401K and stock purchase plans
- tuition reimbursement
- paid time off plus holidays
- flexible approach to work with remote, hybrid, field or office work schedules
ATS Keywords
✓ Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
medical billinginsurance verificationprior authorizationdocumentationcoordination of benefitsbillingclinical information collectionfinancial responsibility determinationreferral managementdata entry
Soft Skills
communicationorganizationteam managementcollaborationproblem-solvingtime managementcustomer serviceattention to detailadaptabilityleadership
Certifications
high school diplomaequivalent