Insurance Verification Coordinator I

Insurance Verification Coordinator I

**BC Forward is looking for **Insurance Verification Coordinator I (Remote)**

**Position Title: Insurance Verification Coordinator I (Remote)**

**Locations: Remote - EST/CST**
**Anticipated Start Date: 9/22**
**Expected Duration: 4 Months**
**Job Type: Contract with possible extension**
**Shift: 8a-9p (depends on the team working with)**
**Pay Rate: $17.00/hr on W2**
**Need: Healthcare Insurance/Benefits/Claims Verification AND Managed Care.**

Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits

Insurance verification for medication; prior authorization appeals; speak to patients, doctors' offices, & insurance plans
Inbound internal que
25 referrals/more a day
95% quality or higher
Attendance is crucial

Required Skills/Experience:
Managed Care
Customer Service
Call Center

Preferred Skills/ Experience: Bachelor's degree

Education/Experience: High school diploma with 1+ years of medical billing or insurance verification experience. Bachelors degree in related field can substitute for experience. Experience with payors and prior authorization preferred. Strong customer service skills.

**Responsibilities**:

- Obtain and verify insurance eligibility for services provided and document complete information in system
- Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
- Collect any clinical information such as lab values, diagnosis codes, etc.
- Determine patients financial responsibilities as stated by insurance
- Configure coordination of benefits information on every referral
- Ensure assignment of benefits are obtained and on file for Medicare claims
- Bill insurance companies for therapies provided
- Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
- Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
- Handle inbound calls from patients, physician offices, and/or insurance companies
- Resolve claim rejections for eligibility, coverage, and other issues

**Benefits**:
BCforward offers all eligible employees a comprehensive benefits package including, but not limited to major medical, HSA, dental, vision, employer-provided group life, voluntary life insurance, short-term disability, long-term disability, and 401k.

About BCforward:
Founded in 1998 on the idea that industry leaders needed a professional service, and workforce management expert, to fuel the development and execution of core business and technology strategies, BCforward is a Black-owned firm providing unique solutions supporting value capture and digital product delivery needs for organizations around the world. Headquartered in Indianapolis, IN with an Offshore Development Center in Hyderabad, India, BCforward's 6,000 consultants support more than 225 clients globally.

BCforward champions the power of human potential to help companies transform, accelerate, and scale. Guided by our core values of People-Centric, Optimism, Excellence, Diversity, and Accountability, our professionals have helped our clients achieve their strategic goals for more than 25 years. Our strong culture and clear values have enabled BCforward to become a market leader and best in class place to work.

BCforward is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, or protected veteran status and will not be discriminated against based on disability.

To learn more about how BCforward collects and uses personal information as part of the recruiting process, view our Privacy Notice and CCPA Addendum. As part of the recruitment process, we may ask for you to disclose and provide us with various categories of personal information, including identifiers, professional information, commercial information, education information, and other related information. BCforward will only use this information to complete the recruitment process.

**Employee Type**: Contractor

**Location**: Florida, FL (Onsite)

**Job Type**: Health Care

**Experience**: Not Specified

**Date Posted**: 08/20/2024