Will undergo training with the partner insurance company
Involves in the planning, organizing and directing the United Care Medical Center (UCMC) insurance programs.
Prepares and submits documentation in support of property and liability claims involving the facility.
Respond to patient and doctors inquiries regarding insurance coverage and approval.
Perform data entry and filing to record patient and insurance data.
Confirm insurance coverage with insurance companies by diagnostic and procedural codes.
Schedule appointments and procedures and verify insurance information.
Collecting invoices generated and submitted and forwards the invoices to the accounts division;
Monitors all other claims status until the settlement is complete.
Clarifies discrepancies in documentation and coding.
Verifies health care charges against established rates for diagnosis, treatment, services and supplies.
Maintain patient accounts via an automated billing system, using codes to facilitate reimbursement from insurance companies; and establishes pro-rata responsibility to permit the prompt collection of patient’s share.
Shall also perform a receptionist task while on duty.
Maintaining relations with insurance providers and provide customer service and liaison between the patients, physicians, nurses, medical coders and Insurance company.
Prior experience working as an medical insurance coordinator – preferred
Excellent coordination skills and ability to multi-task are required