Insurance Coordinator

The Insurance Coordinator plays a crucial role in the healthcare revenue cycle, ensuring accurate insurance verification, pre-authorizations, claims submission, and follow-up. By coordinating insurance benefits and minimizing financial barriers for patients, this role supports access to care while upholding compliance with healthcare regulations. Key Responsibilities: Insurance Verification & Authorization: - Verify patient insurance coverage and benefits before appointments and procedures. - Obtain prior authorizations and referrals required by insurers for medical services. - Communicate any insurance limitations or requirements to clinical and administrative staff. Claims Processing & Follow-Up: - Submit all insurance documents with detailed information to insurance partners. - Monitor claims for processing status and address rejections or denials with corrective measures. - Follow up with insurance companies to ensure timely reimbursement and resolve any delays or discrepancies. Patient Communication & Support: - Provide clear communication with patients regarding explanation of benefits (EOB). Documentation: - Maintain accurate patient insurance records. Coordination & Reporting: - Collaborate closely with front desk, medical records, and billing teams to ensure workflow efficiency. - Participate in audits and quality improvement initiatives. Qualifications: - High School Diploma or equivalent required; Associates or Bachelors degree in Healthcare Administration or related field preferred. - Minimum 1-2 years of experience in a healthcare setting handling insurance coordination or medical billing. - Strong knowledge of commercial insurance plans, Medicare, Medicaid, and managed care. - Familiarity with CPT, ICD-10, and HCPCS coding standards. This is a full-time position with benefits including Provident Fund, day shift schedule, performance bonus, and yearly bonus. The work location is in person.,