Insurance Verification Coordinator

The Insurance Verification Coordinator I obtains all pertinent insurance benefit information and/or pre-certification information for patients scheduled to receive services at an Imaging site, center or facility. Records all benefit and certification information into the applicable computer system and communicates with scheduling in accordance to documented work processes. Coordinates coverage restrictions to prevent payment problems. May assist in training new hire staff. Ensures every customer receives the highest level of customer service.

Specific duties include, but are not limited to:

• Responsible for ensuring insurance companies are contacted to complete the verification process through phone calls and/or web based sites. Prioritizes workload to ensure deadlines are met. Acts as a source of reference for other team members.
• Documents the insurance and authorization verification information in the applicable computer system in accordance with documented work processes. Ensures any coverage restrictions are documented and addressed to avoid payment problems.
• Ensures authorizations /pre-certifications issued are correct.
• Provides support for the scheduling and pre-registration departments as needed.
• Completes any additional job duties as assigned.

Position Requirements:

• High School Diploma or equivalent experience required.
• 1 – 2 years’ experience in medical or related field required.
• Must have knowledge of medical terminology and procedures, knowledge of health insurance industry practices and/or medical billing procedures.
• Experience with medical scheduling/billing systems preferred.
• Computer literacy required.
• All candidates who accept an offer for employment will be required to successfully complete a pre-employment background check and drug screen as a condition of employment.
• The COVID-19 vaccination is/may be a condition of employment.
• All candidates who accept an offer for employment will be required to successfully complete a pre-employment background check and drug screen as a condition of employment.

Physical Requirements:

Standard office environment.

More than 50% of the time:

• Sit, stand, and walk.
• Repetitive movement of hands, arms and legs.
• See, speak and hear to be able to communicate with patients.

Less than 50% of the time:

• Stoop, kneel or crawl.
• Climb and balance.
• Carry and lift 10-20 pounds