[Hiring] Insurance Coordinator @Demant

Role Description

The Insurance Coordinator is responsible for helping clinics and patients in the following areas:

• Verifying insurance eligibility
• Obtaining comprehensive testing & device benefit information
• Obtaining prior & retro-authorizations
• Assisting with claims creation

The Insurance Coordinator will communicate via phone, internet, and email with insurance carriers & clinics to ensure the timely and accurate delivery of verification related requests. The goal is to streamline the patient financial journey by obtaining Authorization and Insurance Benefit information to provide financial transparency.

Responsibilities

• Obtain insurance benefit information, verify insurance eligibility for services and/or devices, and document verification information into our system(s).
• Obtain prior authorizations as required, including procurement of needed documentation by collaborating with clinicians/clinics and insurance companies.
• Ensure all necessary documentation is uploaded into the system.
• Request and obtain Worker’s Compensation approvals from various vendors when required.
• Act as liaison between clinic staff and insurance companies to ensure that all inquiries are addressed.
• Provide support to the clinics for any insurance related questions, including benefit interpretation.
• Participate in partnership with the Supervisor in training clinic staff on insurance related matters in the assigned region.
• Provide outstanding customer service when handling inbound/outbound calls regarding eligibility or authorization.
• Ensure any coverage restrictions are documented and addressed to avoid denials.
• Act as a reference source for other team members and assist in resolving insurance issues/questions.
• Review the pending claims report and address any outstanding issues causing payment delays.

Qualifications

• High School Diploma or GED
• 2+ years’ experience with benefit verifications and insurance eligibility checks
• 1+ years’ experience with requesting and obtaining authorizations with commercial and Medicaid insurance carriers
• 2+ years’ experience working in a medical office or hospital setting
• Experience with Worker’s Compensation preferred
• Basic medical coding knowledge, insurance guidelines, and HIPAA
• Excellent customer service skills
• Detail oriented and organized
• Proficient with Microsoft Office, specifically Word, Excel, Outlook & Teams
• Ability to multi-task and manage a large number of requests within assigned time period
• Ability to work in a fast-paced environment
• Ability to process 50+ verifications a day
• Prior knowledge of workers compensation and DOL a plus

Requirements

• Target pay: $19 - $22 hourly
• Work hours would be aligned to Eastern Standard Time

Benefits

• 401K
• Tuition Assistance program
• Paid Time Off package

Company Description

HearingLife is a national hearing care company and part of the Demant Group, a global leader in hearing healthcare built on a heritage of care, health, and innovation since 1904. HearingLife operates more than 600 hearing care centers across 42 states.

Our vision is to help more people hear better through life-changing hearing health delivered by the best personalized care.