Alliance HealthCare Services

  • Insurance Verification Coordinator II

    Job Locations US-MA-Andover
    ID
    2019-15745
    Category
    Healthcare - Administrative
    Position Type
    full-time
  • About Us

    At Alliance Radiology, our team members focus on transforming the patient experience and delivering exceptional quality care. Alliance Radiology has rapidly grown over the past 30 years by providing radiology service line solutions, outpatient center management services, and mobile radiology solutions (Per Diem, PT, and FT MRI, PET/CT, CT).

    Job Responsibilities

    The Insurance Verification Coordinator II obtains all pertinent insurance benefit information and/or pre-certification approval for patients scheduled to receive services at an Imaging site, center or facility. Contacts doctors offices for accurate, timely and complete information to ensure reimbursement of contracted procedures. Records all benefit and certification information into the applicable computer system and communicates with scheduling in accordance to documented work processes. Coordinates coverage restrictions to prevent payment problems. Resolves higher level issues. May assist in training new hire staff. Ensures every customer receives the highest level of customer service.

     

    Specific duties include, but are not limited to:

    • Responsible for ensuring insurance companies are contacted to complete the verification process through phone calls and/or web based sites and/or is responsible for obtaining authorizations/ pre-certifications from insurance companies and radiology management companies. Prioritizes workload to ensure deadlines are met.
    • Documents the insurance and authorization verification information in the applicable computer system in accordance with documented work processes. Ensures any coverage restrictions are documented and addressed to avoid payment problems.
    • Ensures authorizations /pre-certifications issued are correct. May contact doctor’s offices to request any necessary corrections to authorizations/pre-certifications and/or additional clinical information to needed to obtain an authorization/pre-certification.
    • Interfaces with customers and Alliance’s managed care department regarding any contracting issues.
    • Provides support of scheduling and pre-registration departments as needed.
    • Completes any additional job duties as assigned.

    Position Requirements

    • High School Diploma or equivalent experience required.
    • 2–3 years of experience in medical or related field required.
    • Experience with medical scheduling/billing systems preferred.
    • Must have knowledge of medical terminology and procedures, knowledge of health insurance industry practices and/or medical billing procedures.
    • Computer literacy required.

    A division of Alliance HealthCare Services, we are an equal opportunity employer and we believe in strength through diversity. All qualified applicants will receive consideration for employment without regard to, among other things, age, race, religion, color, national origin, sex, sexual orientation, gender identity & expression, status as a protected veteran, or disability.

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