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Fax Intake/Referral Coordinator

3 months ago

Metro Manila, Philippines iSupport Worldwide Full time

Be a part of our fast-growing team and unchain all the possibilities


 

What is your mission?

You will provide the best service to our partner brands by performing these tasks:

Check/Run real-time eligibility for current insurance(s)Responsible for initiating contact with insurance companies via Internet, phone, or fax for verification or referral for outpatient services to ensure timely and accurate insurance authorization prior to the patient’s scheduled appointment date/timeSecure demographic and primary/secondary/tertiary insurance, as well as any worker’s compensation or MVA insurance information; (i.e., nature of injury, name of claim manager, billing address and phone #, claim #’s) prior to patient visitWork with clinic staff should there be a need to make schedule changes based on lack of insurance or referral prior to the patient’s visitResponsible for reviewing and to do appropriate action for all provider’s inquiries, requests or questionsAttention to Detail: Intake specialists review all patient's medical history/records with a close eye so as not to miss any details that will deter recovery or care.Able to manage 60-80 faxes per dayDocuments and attaches scans of all documents pertaining to verification/referrals to the patient’s EMRFollow U.S. HIPAA guidelines for Security and PHI

 

 

Who are we looking for?

Must have at least 2 years’ experience with insurance verification/ and referral proceduresMust have at least 3 years’ experience with Medical Record and ReferralStrong knowledge and familiarity working with U.S. insurance plans including Medicare, Medicaid, HMOs, PPOs', Worker’s Compensation & MVAsStrong familiarity with payor contractual terms and medical terminology, anatomy and physiology, U.S. ICD-9/ICD-10, and U.S. CPT/HCPCS CodingVerbal ability to discuss and resolve authorization/verification issues with clinic staff, providers, and patientsExceptional attendance is required to ensure efficient operationsBA RequiredMBA degree preferredMedical schooling within the U.S. is highly preferred

 

 

Company Perks:

Above-industry salary package and incentivesComprehensive HMO benefits and life insurance from day 1Free learning and development courses for your personal and career growthDynamic company eventsOpportunities for promotionFree meals and snacks