Job Description

Insurance Verification and Referral Coordinator 

We are  GROWING AGAIN and looking for friendly, dynamic, compassionate team-members to join our organization.  The ideal candidate is courteous, personable, and professional. If you’re a problem solver with a gift for making things run smoothly and alleviating patient concerns, please apply.

We are a fast-paced, busy, general, surgical and cosmetic Dermatology, Mohs/Plastic Surgery and Aesthetic center practice in Prosper, Plano and McKinney. We are looking for experienced medical insurance verification and referral coordinator(s)s with at least 2 years experience in this or related field.

Candidates must be dependable, punctual, detail-oriented professionals who are self-starters and who enjoy and thrive in fast-paced environments.  Prefer experience in Dermatology, MOHs, General or Plastic Surgery, Ob-Gyn or Cardiology. Bilingual a plus.   We use ModMed for our EMR and PMS. Experience with aesthetic services and products a plus.

We offer an awesome work environment. If you are interested in making a difference in patient's lives, enjoying your workday in an office that values and appreciates you, has a strong and fun work family feel with truly fabulous providers and working for a non-corporate organization--- please forward your resume and references to learn more about us.

• Monday-Thurs 7:45-5 and Friday 7:45-12 for full-time
• Part time/PRN schedules are flexible 
• Must be available to work at any location on any day

Qualifications

The Insurance Verification Coordinator is responsible for ensuring accurate and timely insurance verification and authorization for patient services. This role plays a critical part in the revenue cycle by minimizing claim denials and ensuring timely reimbursement from insurance carriers.

Essential Duties and Responsibilities:

1. Insurance Verification:
   • Verify patient insurance eligibility and benefits for all scheduled procedures.
   • Obtain and document prior authorizations from insurance companies as required.
   • Determine patient financial responsibility and communicate this information to patients.
   • Collect and maintain accurate patient demographic and insurance information.
   • Research and resolve insurance coverage and benefit discrepancies.
2. Data Entry and Maintenance:
   • Accurately enter patient and insurance information into the electronic health record (EHR) or other relevant systems.
   • Maintain accurate and up-to-date records of all verification and authorization activities.
3. Communication:
   • Communicate effectively with patients, insurance carriers, and internal departments regarding insurance coverage and authorization status.
   • Respond promptly to inquiries from patients and staff regarding insurance coverage and billing matters.
4. Compliance:
   • Stay informed of and comply with all relevant insurance regulations and payer guidelines.
   • Participate in ongoing training and education to maintain knowledge of insurance verification and reimbursement procedures.
5. Proficient in medical administrative support and patient care
6. Skilled in Modernizing Medicine (EMA & PMS) systems.  Uses practice management software (PMS), patient portal and appointment reminder systems, mobile applications, and other forms of technology to manage scheduling, interact with patients and providers, and update files and patients’ records.
7. Experience in patient intake process, verifying and updating demographics and insurance coverages
8. Experience in patient check out process, collecting all payments due, scheduling recalls and follow ups, balancing all financial transactions
9. Experience in answering multi-line phone system and scheduling patients
10. Demonstrate excellent communication skills when interacting with patients and staff.
11. Protects patients’ rights by maintaining confidentiality of medical, personal, and financial information.
12. Bilingual proficiency is a plus for effective patient communication

- Experience in Dermatology, Mohs, Plastic Surgery and Aesthetic settings preferred

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