Insurance Verification Coordinator- Advanced Orthopaedics & Sports Medicine

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    "jobTitle": "Insurance Verification Coordinator- Advanced Orthopaedics & Sports Medicine",
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    "description": "<p><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\">The Insurance Verification Coordinator plays a crucial role in ensuring that patients receive the necessary insurance coverage for their medical services. This position involves verifying patient insurance information, determining eligibility, and communicating with insurance providers to resolve any discrepancies. The coordinator will work closely with healthcare providers and administrative staff to facilitate a smooth patient experience and minimize delay in service. By accurately processing insurance verifications, the coordinator helps to ensure that the organization receives timely reimbursements for services rendered. Ultimately, this role contributes to the overall efficiency and effectiveness of the healthcare delivery system.</span></span></p>\r\n\r\n<p><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><b><u>Key Responsibilities:</u></b> </span></span></p>\r\n\r\n<ul>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Complete all office visit/surgery verification, authorization/precertification to improve customer satisfaction allowing no more than 2 weeks.</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Completes and provides surgical/injectable estimates to patients.</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Contacts insurance company for authorization/precertification requirement, initiate request and deliver pertinent medical records, i.e., chart notes, diagnostic imaging reports, and op notes, to expedite process; obtains patient eligibility and benefits via phone (live/automated) or online portal.</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Notates pertinent information in the system regarding patient insurance verification/pre-certification status and patient financial responsibility.</span></span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\">Conducts self a positive role model and team member</span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\">Recognizes patients&rsquo; rights and responsibilities and supports them in performance of job duties</span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\">Performs according to established compliance policies and procedures</span></span></li>\r\n\t<li><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\">Seeks new learning experiences by accepting challenging opportunities and responsibilities</span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Acts as liaison with the supervisor to ensure verification, precertification needs are met. (i.e. verifier having difficulty obtaining benefits, precertification coordinator having difficulty obtaining pre-cert, etc.)</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Assists the administrator and/or supervisor with various administrative projects as directed. (i.e., auditing rejected claims etc.)</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Works with the supervisor to ensure cross-training of all staff and reassign (in the absence of the supervisor) responsibilities for coverage when a staff member is out.</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Assists supervisor in training staffs who are failing to perform according to the department/organizational standard.</span></span></span></li>\r\n\t<li style=\"margin-left:8px\"><span style=\"font-size:12pt\"><span style=\"font-family:&quot;Times New Roman&quot;,serif\"><span style=\"color:black\">Any additional duties as assigned</span></span></span></li>\r\n</ul>\r\n",
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