Insurance Eligibility Coordinator (CA, Montrose)

Work Location

• In person
• ?

Job Description

Responsibilities

• The position will entail the timely submission of authorization requests to assigned payers. Submission of requests will be completed using paper forms, printed documentation, fax, payer portals, or other means. Complete follow-up on requests to ensure timely turnaround and approval. Understand payer requirements to ensure approval is granted. Escalate problem accounts and ensure resolution. Regular contact with patients, insurance plans, physician offices, respiratory therapists, and other personnel is necessary.

Duties

• Obtain authorization for patient care (initial authorization, reauthorization, follow-up on prior authorization, etc.)
• Verify insurance eligibility; contact patients and departments with any negative outcomes
• Assist billing with claims issues due to insurance authorization denials
• Work closely with the clinical teams and referral sources regarding current and future authorization needs
• Maintain progress/tracking reports on outstanding authorization to ensure timely request, receipt, and processing of authorization