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Insurance Coordinator
AOM Infusion. Contact patients’ insurance carriers to verify coverage for prescribed therapy .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in insurance verification and authorization processes, with a strong understanding of various insurance plans. Proficient in data entry and patient financial counseling, ensuring effective communication with healthcare teams and patients.
Highest-signal resume keywords
Insurance Reimbursement ExperienceHome Care/Home Infusion ReimbursementInsurance VerificationFinancial CounselingData Entry
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
Insurance VerificationAuthorization ProcessesData EntryPatient DocumentationClinical Documentation
Soft Skills
Good Communication SkillsOrganizational SkillsSelf-Motivated
Tools & Technologies
Specialty Pharmacy Business Operating SystemElectronic Document Management System
Certifications & Qualifications
High School Diploma or Equivalent
Industry Keywords
Insurance PlansPatient BalancesDeductiblesCoinsurancePatient Care
About the role
Key responsibilities & impact- Contact patients’ insurance carriers to verify coverage for prescribed therapy
- Obtain authorization for services from insurance carriers
- Communicate with pharmacy, nursing, billing, referral sources, sales staff, and operations teams regarding insurance benefits
- Submit insurance verification forms and authorizations
- Participate in daily patient rounds to determine ongoing care needs
- Track authorizations and obtain reauthorizations as needed
- Obtain necessary clinical documentation and/or physicians’ letters of medical necessity
- Complete data entry in the Specialty Pharmacy Business Operating system
- Prepare patient start-of-care documentation
- Provide financial counseling to patients and/or patient representatives
- Assist with upfront collection of patient balances, deductibles, and coinsurance amounts
- Electronically store patient information, including emails, in the Electronic Document Management system
- Assist with other projects assigned by the Intake Manager and Senior Management
Requirements
What you’ll need- High School Diploma or Equivalent
- 2 to 4 years experience in insurance reimbursement
- 1 to 2 years experience in home care/home infusion reimbursement
- A strong understanding of the different types of insurance plans
- Good communication skills
- Organizational skills
- Self-motivated worker
- Computer literate
Benefits
Comp & perks- Medical insurance
- Dental insurance
- Vision insurance
- 401(k)
- Paid Time Off
- Paid Holidays
- FSA
- Life & AD&D Insurance
- Disability Coverage
- Employee Referral Program