AppleOne - Bellevue, WA

posted about 2 months ago

Full-time - Entry Level
Bellevue, WA
Administrative and Support Services

About the position

The Insurance Operations Coordinator position at AppleOne involves a critical role in the insurance verification and authorization process. The successful candidate will be responsible for obtaining, entering, and tracking authorizations for insurance, ensuring that all necessary information is accurately logged into the computer database. This position requires a high level of attention to detail and a commitment to providing excellent customer service. The Insurance Verification/Authorization Clerk will verify and obtain insurance eligibility for all agency referrals, utilizing both internet resources and direct communication with insurance companies to confirm coverage details. Collaboration is key in this role, as the clerk will work closely with staff to secure authorizations from managed care companies. This includes clarifying and verifying insurance coverage details with both private and government carriers, as well as providing necessary information to billing staff. The position demands strong problem-solving skills and the ability to handle heavy phone interactions, as the clerk will frequently communicate with physicians, claims processors, medical billers, and patients. Overall, this role is essential in ensuring that the insurance verification process runs smoothly and efficiently, contributing to the overall success of the agency's operations.

Responsibilities

  • Verify and obtain insurance eligibility on all agency referrals.
  • Utilize insurance company websites or phone calls to verify information.
  • Collaboratively work with staff to obtain authorization from managed companies.
  • Clarify and verify details of insurance coverage with private or government carriers.
  • Obtain insurance authorization and track necessary details for billing.
  • Provide support to billing staff.
  • Maintain high attention to detail in logging information into a computer database.
  • Engage in heavy phone interaction to provide top customer service.

Requirements

  • Strong customer service skills.
  • Attention to detail and accuracy in data entry.
  • Ability to communicate effectively with various stakeholders including physicians and patients.
  • Basic understanding of insurance verification processes.

Benefits

  • Health insurance
  • Dental insurance
  • 401(k)
  • Vision insurance
  • Paid sick time
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