Insurance

• Handle 50–150 inbound and outbound patient calls per day using Weave
• Answer treatment inquiries and schedule appointments
• Manage provider calendars and guide prospective psychiatry and TMS therapy patients through intake
• Assist with general administrative requests
• Conduct appointment confirmations, cancellations, and reschedules in English and Spanish
• Address non-clinical questions about psychiatry, TMS therapy, and mental health services
• Maintain accurate patient records and organize digital intake workflows
• Update patient charts and manage daily calendar tasks using Google Workspace and GoHighLevel
• Verify insurance eligibility and coverage details on payer platforms
• Assist with prior authorization documentation
• Identify administrative bottlenecks and maintain high patient satisfaction

Bilingual Front Desk, Insurance Verification Specialist – Psychiatry, TMS

• Verify patient insurance eligibility, active coverage, benefits, effective dates, plan type, network status, copays, deductibles, coinsurance, out-of-pocket information, referral requirements, and authorization requirements
• Document eligibility and benefit information in EZ Derm or the designated workflow
• Communicate with insurance companies about eligibility, benefits, authorization requirements, and pending requests
• Document insurance calls, including representative name, reference number, date and time, phone number, information obtained, and next action
• Manage prior authorizations from submission through final resolution
• Submit prior authorization requests with complete supporting documentation
• Track status updates, additional information requests, approvals, denials, authorization numbers, approved codes, units, and date ranges
• Manage prior authorizations for biologic medications
• Create and maintain follow-up tasks for unresolved insurance and authorization items
• Track pending items through completion, resolution, or escalation
• Escalate clinical, financial, missing information, denial, delay, or decision-making concerns as appropriate
• Handle insurance-related phone calls as the primary focus
• Provide overflow patient call support as operational needs allow
• Provide a daily End of Day report summarizing completed work and outstanding items
• Maintain patient confidentiality and comply with HIPAA and practice policies
• Use EZ Derm, 3CX, insurance portals, payer systems, task workflows, phone, email, and internal communication systems

Insurance jobs in Honduras

Bilingual Front Desk, Insurance Verification Specialist – Psychiatry, TMS

Bilingual Prior Authorization, Insurance Verification Specialist