Fax Intake & Referral Coordinator

• 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 ensuring timely and accurate insurance authorization prior to the patient’s scheduled appointment date/time.
• Secure 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 visit.
• Work with clinic staff should there be a need to make schedule changes based on lack of insurance or referral prior to the patient’s visit
• Responsible to review and to do an appropriate action for all provider’s inquiry, request or questions.
• Attention to Detail: Intake specialists reviews 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 day
• Documents and attaches scans of all documents pertaining to verification/referrals to the patient’s EMR
• Follow U.S. HIPAA guidelines for Security and PHI

Requirements

• Must have at least 2+ years’ experience with insurance verification/ and referral procedures
• Must have at least 2+ years’ experience with Medical Record and Referral
• Strong knowledge and familiarity working with U.S. insurance plans including Medicare, Medicaid, HMOs, PPO', Worker’s Compensation & MVAs
• Strong familiarity with payor contractual terms and medical terminology, anatomy and physiology, U.S. ICD-9/ICD-10, and U.S. CPT/HCPCS Coding
• Verbal ability to discuss and resolve authorization/verification issues with clinic staff, providers and patients
• Exceptional attendance is required to ensure efficient operations

Education:

• BA Required
• MBA degree preferred
• Medical schooling within the U.S. is highly preferred

Benefits

Perks you will experience in iSupport:

- Free lunch meal, fruits, snacks, and drinks (If you are in an onsite shift)

- Onsite gym with a free professional instructor.

- Weekly fitness activity and an annual fitness challenge where you can win up to 70,000 PHP.

- Weekly engagement activities with prizes that are up to 3,000 PHP.

- Free upskilling academy to improve your performance and skillset.

- State-of-the-art facilities from toilets to your workstation.

- Amenities such as sleeping quarters, game area, chat room, shower room.