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Insurance Verification Coordinator I at Centene in Houston, TX

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Description

HourlyPosition Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits

  • Obtain and verify insurance eligibility for services provided and document complete information in system
  • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
  • Collect any clinical information such as lab values, diagnosis codes, etc.
  • Determine patient's financial responsibilities as stated by insurance
  • Configure coordination of benefits information on every referral
  • Ensure assignment of benefits are obtained and on file for Medicare claims
  • Bill insurance companies for therapies provided
  • Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
  • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
  • Handle inbound calls from patients, physician offices, and/or insurance companies
  • Resolve claim rejections for eligibility, coverage, and other issues
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