Insurance/Referral Coordinator

Overview We are seeking a dedicated and detail-oriented Insurance/Referral Coordinator to join our healthcare team. This vital role involves managing insurance processes, coordinating patient referrals, and ensuring seamless communication between patients, providers, and insurance companies. The ideal candidate will possess strong knowledge of managed care, medical office procedures, and healthcare regulations to facilitate efficient billing, coding, and insurance verification. This position offers an opportunity to contribute to high-quality patient care through meticulous administrative support and compliance adherence. Duties Verify patient insurance coverage and benefits accurately prior to appointments or procedures. Coordinate referrals with insurance providers and specialists to ensure timely access to necessary services. Review and process medical records, ensuring proper documentation for billing and insurance claims. Utilize CPT (Current Procedural Terminology), ICD-9, ICD-10, and ICD coding systems to accurately code diagnoses and procedures for billing purposes. Maintain compliance with HIPAA regulations by safeguarding patient confidentiality during all administrative activities. Collaborate with medical staff to ensure accurate entry of medical terminology and coding in electronic health records. Manage insurance claims submissions, follow-up on denials or rejections, and resolve billing discrepancies efficiently. Support office operations by maintaining organized medical records and assisting with general administrative tasks related to managed care. Skills Strong understanding of managed care policies, insurance verification processes, and medical billing procedures. Proficiency in medical office software, electronic health records, and medical coding systems including CPT, ICD-9, ICD-10, and ICD coding standards. Experience working in a medical or dental office environment with knowledge of healthcare terminology and documentation practices. Familiarity with HIPAA compliance requirements to ensure patient privacy and data security. Excellent organizational skills with the ability to multitask effectively in a fast-paced setting. Effective communication skills for liaising with insurance companies, healthcare providers, and patients. Prior experience in dental office settings is a plus, along with strong office experience in healthcare environments. Join our team as an Insurance/Referral Coordinator to play a crucial role in streamlining healthcare operations while ensuring exceptional patient service through precise administrative support and regulatory compliance!

Pay:

$13.00 - $15.00 per hour

Work Location:

In person