<Overview>
Join our medical specialty practice as a call center follow up Patient Care Call Center Coordinator/Insurance Verification Specialist, where your energy and organizational skills will directly impact patient experiences and clinic operations. In this vital role, you will coordinate patient appointments, manage medical records, and ensure seamless communication between patients and healthcare providers. Your proactive approach will help create a welcoming environment while maintaining accuracy in scheduling and documentation. This position offers an exciting opportunity to be at the heart of patient care delivery, supporting both clinical teams and patients with enthusiasm and professionalism.
<Responsibilities>
- Schedule, confirm, and follow up on appointments for established patients across both practice locations
- Manage high-volume inbound and outbound calls with professionalism and empathy
- Coordinate prior authorizations for medications, procedures, and specialist referrals
- Verify patient insurance coverage through our online portal prior to appointments and confirm plans are active
- Enter copays, co-insurance, deductibles, and out-of-pocket amounts into the patient record
- Upload insurance verifications and insurance card copies into the patient's attachments
- Review insurance cards on file and coordinate with the front desk when cards need to be collected
- Check whether each patient's plan requires a referral, and call the patient or their PCP office to obtain one if needed
- Maintain a running list of pending referrals and file received referrals in the attachments section
- Answer patient and staff questions about insurance, benefits, and plan changes by phone and email
- Call insurance companies directly to verify eligibility when needed
- Update patient insurance information as changes occur
- Stay current on which insurance plans the practice accepts and does not accept
- Assist with insurance verification, billing inquiries, and authorization follow-through
- Communicate with patients regarding treatment plans, appointments, and medication refill requests
- Verify insurance coverage and perform insurance eligibility checks to facilitate smooth billing processes.
- Maintain detailed medical records and ensure compliance with HIPAA regulations to protect patient confidentiality.
- Provide exceptional patient service by answering multi-line phone systems with professionalism, practicing excellent phone etiquette, and addressing patient inquiries promptly.
- Collaborate with healthcare providers to review documentation for accuracy and completeness, ensuring proper care plans are documented in the EMR system.
<Qualifications>
- Experience with medication prior authorizations and insurance billing (strongly preferred)
- Familiarity with specialty practice workflows — pain management, orthopedics, or PM&R a plus
- Strong phone communication skills and the ability to manage multiple tasks simultaneously
- Proven experience in medical office management or healthcare administrative support within a clinical setting.
- Strong knowledge of EMR systems.
- Familiarity with medical billing procedures including insurance verification
- Excellent computer skills with proficiency in health information management software.
- Exceptional organizational skills with attention to detail in documentation review and data entry tasks.
- Outstanding customer service skills combined with professional phone etiquette for handling multi-line phone systems effectively.
- Knowledge of HIPAA regulations and medical terminology necessary for maintaining confidentiality and accurate recordkeeping.
- Prior clinic or hospital experience involving surgical scheduling, front desk operations, or dental office experience is highly desirable.
Pay: $19.00 - $23.00 per hour
Benefits:
Work Location: In person
