Transformations Care Network · 5 hours ago

TMS Benefits Coordinator

United States

Full-time

Remote

Entry Level

1+ years exp

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Responsibilities

Investigate and communicate insurance coverage and verification of Benefits.

Document all correspondence in EMR according to policy.

Review requests for Prior Authorization, communicate any issues prior to submission to the team.

Submit and resubmit prior authorizations as needed, communicate status of patients awaiting treatment with provider.

Work with provider on peer to peer and appeals.

Utilize Trakstar and adhere to timelines related to our external vendor Neurostar

Answer incoming calls on Five 9 and disposition calls as needed.

Update the patient charts, Interventional tracker, monitor and correspond through intake email, and team’s channels on a regular basis.

Identify and report changes in insurances as they arise via submission of smart sheets.

Perform additional duties as needed.

Follows company policies and procedures as well as adhering to state and/or federal regulations.

Qualification

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Medical authorizationsHIPAA complianceMedical office experienceMedical terminologyFive 9 callsTrakstar