Insurance coordinator job description

You could be the one who changes everything for our 26 million members. Centene is transforming the health of our communities, one person at a time. As a diversified, national organization, you'll have access to competitive benefits including a fresh perspective on workplace flexibility.

Position 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

Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelor's degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills.

Foundation Care Only: Ability to complete Missouri Registered Pharmacy Tech application on 1st day of hire to obtain non-restricted Missouri Registered Pharmacy Tech within 30 days of hire OR Active Missouri Registered Pharmacy Tech license.

Our Comprehensive Benefits Package: Flexible work solutions including remote options, hybrid work schedules and dress flexibility, Competitive pay, Paid time off including holidays, Health insurance coverage for you and your dependents, 401(k) and stock purchase plans, Tuition reimbursement and best-in-class training and development.

Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.

**TITLE:** Insurance Verification Coordinator I

**LOCATION:** Orlando, Florida

**REQNUMBER:** 1368063

Our Miami Gardens dental practice is seeking a full-time qualified, professional and motivated Treatment Coordinator who is ready to help change the lives of patients, be a part of a team and grow personally and professionally within our Great Expressions family!

We are looking for a team oriented individual who is outgoing with impressive communication skills, organized, professional, service minded and willing to go above and beyond the basic responsibilities of the job. As a Treatment Coordinator, you will have the opportunity to develop relationships within all levels of team members in a business, build productive and smart schedules to benefit the practice and patients, be exposed to various insurance plans to understand the patients breakdown of benefits, outline treatment options and present them to patients, assist patients with financial agreements and so much more. You will be able to gain the skills and knowledge on all things dentistry by teaming up with your Operation Manager and Leadership team!
When you join our team, you benefit in many ways:

+ Exciting Team Environment

+ Competitive Pay and Bonus Potential

+ Healthcare Benefits

+ Medical, Vision and Dental coverage offered

+ Paid Holidays and Vacation Time (8 paid holidays plus 1-2 week(s) vacation time)

+ Company Paid Uniforms

+ 401k, Life Insurance, Short and Long Term Disability plans

+ Opportunity for Career Advancement/Recognition and Growth with a Rapidly Growing Company

+ Tuition Reimbursement

Your safety and wellbeing matter.

To maintain the health of our team members and patients, we have implemented a number of added safety measures, as outlined by the CDC, throughout our practices. These include, but are not limited to, daily team member and patient screening, mask usage in non-clinical areas, increased disinfection of common areas and social distancing whenever possible. Our goal is to make sure you feel as safe as possible at work, so you can focus on providing exceptional patient care.

+ Experience in dental treatment planning preferred

+ Ability to multi-task

+ Previous sales experience preferred

+ Must be willing to travel locally

ID: 2022-24952

External Company Name: Great Expressions Dental Centers

External Company URL: www.greatexpressions.com

Street: 17301 NW 27th Avenue

Telecommute: No

What can you expect?

* You will be an essential part of a highly skilled team by collaborating with our client-facing colleagues and assisting with document preparation and coordination.
* You will work as an extension of our client team
* Handling administrative duties, invoicing and to retain and grow revenue for an assigned book of business.
* To collaborate with teams across the world and assist internal colleagues with various inquiries and requests.
* To join a fun and dynamic team.
* We will provide the insurance knowledge required to be successful while learning our systems. While you will go through a significant amount of training required understanding and working effectively in the insurance environment, this is not a sales position and does not involve or include any sales function or targets

What is in it for you?

* A foot in the door at Fortune 500 company; this role will expose you to many areas of the company, senior leaders, and various aspects of Commercial Insurance that will allow you to expand your network, gain valuable knowledge and, and enhance your skills
* Benefits like Medical, Dental, Vision, STD/LTD and Life Insurance, a generous 401k match and PTO allowance, Employee Stock Purchase program, and Tuition Reimbursement, with benefits starting Day 1
* Culture of internal mobility, diversity, inclusion, and collaboration in a relaxed environment with a casual dress code
* A company-wide emphasis on Corporate Social Responsibility; all colleagues receive 8 hours of paid time off for volunteering, with the option to join our organized group activities
* Opportunities to get involved with resource groups, guest speaker lectures, career development events, volunteering, social activities, and more
* Flexible work opportunities to ensure a healthy work/life balance

We will count on you to:

* Handle day to day transactions.
* Build and maintain relationships with clients to provide best in class service to drive growth and retention
* Serve as a client contact for day-to-day needs and answers standard client questions to improve the client experience
* You will be responsible for processing invoices and certificates of insurance.

What you need to have:

* Bachelor's degree is preferred but not required; Associates degree with 3 years of experience is acceptable
* Excellent organizational, time management, verbal, written, interpersonal and business communication skills
* Good problem solving and judgment capabilities with strong initiative
* Ability to effectively and accurately manage multiple tasks and projects, with a sense of urgency, and in a fast-paced environment
* Proficient in Microsoft Office programs

What makes you stand out?

* Strong analytical skills
* Ability to build rapport across all levels of the organization

Marsh is the world's leading insurance broker and risk adviser. With over 35,000 colleagues operating in more than 130 countries, Marsh serves commercial and individual clients with data driven risk solutions and advisory services. Marsh is a business of Marsh McLennan (NYSE: MMC), the leading global professional services firm in the areas of risk, strategy and people. With annual revenue approaching US $17 billion and 76,000 colleagues worldwide, MMC helps clients navigate an increasingly dynamic and complex environment through four market-leading businesses: Marsh, Guy Carpenter, Mercer, and Oliver Wyman. Follow Marsh on Twitter @MarshGlobal; LinkedIn; Facebook; and YouTube, or subscribe to BRINK.

Marsh McLennan and its Affiliates are EOE Minority/Female/Disability/Vet/Sexual Orientation/Gender Identity employers.

The applicable base salary range for this role is $35,200 to $56,300.

The base pay offered will be determined on factors such as experience, skills, training, location, certifications, and education. Decisions will be determined on a case-by-case basis. In addition to the base salary, this position may be eligible for performance-based incentives.

We are excited to offer a competitive total rewards package which includes health and welfare benefits, tuition assistance, 401K savings and other retirement programs as well as employee assistance programs.