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Insurance & Authorization Coordinator
Graham Healthcare GroupInsurance Coordinator responsible for verifying benefits and authorizations for healthcare services. Collaborating with departments to ensure accurate funding information and monitoring insurance issues.
About the role
Key responsibilities & impact- Ensure that benefit information, authorization, and patient liability are obtained prior to clinical staff starting care
- Work closely with other departments to ensure updates in funding source information
- Obtain detailed and accurate benefit information using payer portals, phone, or fax for all insurance companies
- Validate and document all payor information in the EMR
- Reduce write-offs by documenting benefit information in patient charts
- Continuously monitor task flow screen related to all insurance issues
- Review entitlement verification reports daily, researching any questionable answers
- Reverify current Medicaid patients to monitor HMO status monthly
- Contact patients, hospitals, or physician offices for information or to clarify benefit
- Assist billing department with insurance verification discrepancies
Requirements
What you’ll need- Associate degree or combination of experience and business courses preferred
- Minimum of one (1) year of previous experience in insurance verification, authorization, or medical billing
- Proficiency in Microsoft Office Suite
- Knowledge of Medicare, Medicaid, and third-party insurance and authorization requirements
- Knowledge of insurance websites
- Knowledge of HomeCare Homebase preferred
- Conscientious, with attention to detail
- Demonstrated patience, flexibility, and cooperative attitude
- Ability to think critically and act independently when resolving benefit discrepancies
- Effective verbal and written communication skills with others both internally and externally
- Ability to work independently and within a multidisciplinary team
- Availability weekends, holidays, and after hours based on business needs
Benefits
Comp & perks- Health, Vision, & Dental
- 401K & Pension w/ 4% employer contribution
- 15 Days PTO
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
insurance verificationauthorizationmedical billingbenefit information documentationtask flow monitoringentitlement verificationcritical thinkingproblem resolution
Soft Skills
attention to detailpatienceflexibilitycooperative attitudeeffective communicationindependenceteamwork
Certifications
Associate degree