Senior Care Therapy ยท 10 hours ago
Insurance Eligibility Coordinator
United States
Full-time
Remote
Entry Level
1+ years expSenior Care Therapy is seeking an Insurance Eligibility Coordinator who is responsible for verifying patient insurance coverage and ensuring accurate benefit information. The role involves working closely with patients and insurance carriers to confirm eligibility, resolve discrepancies, and support efficient revenue cycle operations.
Health CareHome Health CareMedicalPsychology
Responsibilities
Verify patient insurance eligibility and benefits using electronic systems, payer portals, and direct insurance carrier communication
Accurate document coverage details, copayments, deductibles, prior authorization requirements, and plan limitations. Prepare and submit claims in a timely and accurate manner
Obtain Authorizations as required
Identify and correct rejected claims for prompt resubmission
Submit and follow up on authorization requests
Follow up on denied or unpaid claims and work to resolve discrepancies
Post payments and adjustments to patient accounts in a timely manner
Communicate with insurance companies and internal staff regarding billing inquiries or issues
Maintain up-to-date knowledge of payer rules, policy changes, and medical coverage guidelines
Protect patient privacy and maintain compliance with HIPAA and organizational standards
Support revenue cycle improvement initiatives related to eligibility and insurance workflows
Participate in team meetings and contribute to quality improvement initiatives
Adhere to practice policies, procedures, and protocols including confidentiality
Other tasks as assigned
Qualification
Required
High School diploma or equivalent required
1-2 years of experience in medical insurance verification, medical billing, or related roles
Strong understanding of insurance plans, terminology, HMOs, PPOs, Medicare/Medicaid and commercial payer policies in NJ, NY, & PA
Excellent communication, customer service, and problem-solving skills
Proficiency with medical practice management software, EHR systems, and payer portals
Ability to multitask and work in a fast-paced environment
Strong Knowledge of Microsoft Office Suite
Comfortable working independently and collaboratively
Outstanding problem solver and analytical thinking skills
Attention to detail and ability to prioritize
Ability to maintain confidentiality
Preferred
Experience in Behavioral health is preferred
Company
Senior Care Therapy
Senior Care Therapy is a healthcare provider that specializes in psychological counseling and telehealth services for senior citizens.
51-200 employees
Funding
Current Stage
Growth StageTotal Funding
unknown2024-01-10Private Equity
Leadership Team
Ariela Finkiel
Chief Operating Officer
Moe Rabi
Chief Sales Marketing Officer
Recent News
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