Top 17 Insurance coordinator Jobs in Philadelphia Pa

Insurance Pre-Cert Coordinator - Outpatient Infusion Services, at Perelman Center, FT Hybrid
Penn Medicine —Philadelphia, PA
- Full-time
- HIPAA
- Mid-level
- 3 years
- Tuition reimbursement
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Insurance Coordinator II | HomeHealth
Christiana Care Health Systems —Wilmington, DE
- $19.84 - $29.76 an hour
- Full-time
- Remote
- Microsoft Excel
- Microsoft Outlook
- Mid-level
1d
Insurance Ver & Auth Coordinator
Center for Family Guidance PC —Marlton, NJ
- $26 - $28 an hour
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- High school
- Health insurance
- Dental insurance
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HR Coordinator (Bala Cynwyd, PA)
Philadelphia Insurance Companies —Bala-Cynwyd, PA
- Online Application
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Tuition reimbursement
dental office patient care coordinator
Langhorne family smiles —Langhorne, PA
- $24 - $32 an hour
- Full-time
- Dental office
- Microsoft Outlook
- Organizational skills
- Paid time off
- 401(k) matching
Quick Apply
4d
Dental Eligibility and Insurance Coordinator
Dentistry for Children & Adolescents —Holmes, PA
- $21 - $24 an hour
- Full-time
- Dental office
- Mid-level
- Pediatrics
- Health insurance
- Dental insurance
Quick Apply
HR Coordinator (Bala Cynwyd, PA)
Philadelphia Insurance Companies (PHLY) —Bala-Cynwyd, PA
- Online Application
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Mid-level
- Health insurance
- Tuition reimbursement
Dental Insurance Coordinator
Main Street Dental Center PLLC —Collegeville, PA
- Full-time
- Private practice
- Dental office
- Mid-level
- Dental insurance
- Paid time off
Quick Apply
Dental Billing & Insurance Coordinator
Williamsburg Dental —Broomall, PA
- Full-time
- Dental office
- Mid-level
- Administrative experience
- Paid holidays
- Health insurance
Quick Apply
5d
Commercial Title Insurance Coordinator
Land Services USA, LLC —Media, PA
- Full-time
- Hybrid work
- Customer service
- Office
- Travel
- Health savings account
- Health insurance
Quick Apply
12d
Intake & Community Engagement Coordinator
CAREFULLY CARING HOME CARE AGENCY —Philadelphia, PA
- $22 - $25 an hour
- Full-time
- Experience working with individuals with developmental disabilities
- Nursing
- HIPAA
- 401(k)
- Paid time off
Quick Apply
10d
New Business Coordinator– JKJ Financial Services
SDM Inc —Newtown, PA
- Hybrid work
- Microsoft Outlook
- Mid-level
- Office
Quick Apply

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Dental Receptionist/Treatment Coordinator
Confidential —Cherry Hill, NJ
Seeking experienced dental receptionist/treatment coordinator to join our privately owned multi-specialty dental practice (Periodontist, Prosthodontist and…
$27 - $30 an hour
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Treatment Plan Coordinator (High Dollar/Full Arch Cases)
Confidential —Media, PA
This role is ideal for someone who thrives in a fast-paced, high-performance environment and understands the clinical, financial, and emotional aspects of…
$25 - $33 an hour
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Dental receptionist: 2 years (Required). Support front office operations as needed to ensure a seamless patient experience. Grove City, OH | Full-Time.
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Dental Treatment Coordinator
Dr. Kvitko & Associates —Columbus, OH
Greet patients, answer phones, work with hygiene recall, confirm patients, billing, check insurance benefits, and schedule appointments.
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Insurance Pre-Cert Coordinator - Outpatient Infusion Services, at Perelman Center, FT Hybrid

Penn Medicine -
Philadelphia, PA

Quick Apply

Job Details

Full-time

Benefits

Tuition reimbursement

Qualifications

Collaborate with healthcare professionals
Health insurance co-pays
HIPAA compliance
Overseeing health insurance pre-certification
Phone communication
Medical coding
Patient demographics
HIPAA
Process improvement
Mid-level
3 years
High school diploma or GED
ICD-9
Healthcare referral management
Utilization management
Task prioritization
Decision making
Medical billing and coding communication with insurance companies
Conflict management
Resource utilization in healthcare
Patient interaction
Health insurance referral requirements
Clinical confidentiality policies
Epic
Patient registration
Faxing
Associate's degree
Communication skills
Cross-functional communication
Client interaction via phone calls

Full Job Description

Description

Penn Medicine is dedicated to our tripartite mission of providing the highest level of care to patients, conducting innovative research, and educating future leaders in the field of medicine. Working for this leading academic medical center means collaboration with top clinical, technical and business professionals across all disciplines.

Today at Penn Medicine, someone will make a breakthrough. Someone will heal a heart, deliver hopeful news, and give comfort and reassurance. Our employees shape our future each day. Are you living your life's work?

Summary:

Obtain pre-certification and referrals for inpatient and same day encounters. Verification of benefits and pre-certify selected outpatient registrations. Provide specialized support in the areas of insurance and billing information. Support the representatives solving problems and answering questions. This position will ensure access to integrated health care; achieve clinically appropriate authorization to assure optimal reimbursement for the hospital for services provided.

Responsibilities:

Review chemo schedule in advance and determines patients insurance requirements for pre-cert, patient payments, coverage limitation and determine necessary action prior to patient arrival. Assess information for appropriateness of setting and utilization of resources to optimize patient outcomes and cost effectiveness. Maintain communication with provide education to all involved departments included but not limited to admissions, business office, case managers and medical staff and designees. Provide required clinical and demographic information to payer to obtain precertification and assure reimbursement. Communicate with patients to verify incomplete insurance information and remind the HMO patients to obtain a referral and make patient aware of any co-pays. Pre-certify and obtain authorization numbers and enter into Epic insurance flowsheet. Obtaining medical, ICD-9 and CPT codes. Interact with medical staff and their designees to obtain complete, accurate, timely clinical and financial information required for payer reimbursement. Fax all information required to insurance companies to ascertain an authorization number for pre-cert. Keeping within the standards set by the Office of Compliance and HIPPA in reference to confidentiality. Assist admissions representative obtaining pre-cert and authorization numbers. Keep representatives apprised of any changes in the process. New and improved methods of obtaining insurance authorizations Internet, envoy. Follow up with all review companies on all pending authorizations and referrals. Checks-in/arrives patient appointments daily in Epic. Pre-register appointments 24 hours in advance of patient's appointment. Maintain excellent working relationships with all insurance companies. Communication and maintain excellent working relationships with referring physicians and their staff. Work approximately one week in advance whenever possible. Provide accurate information to billing and case management to assure payment of claims. Willingly accepts responsibility and demonstrates positive and competent performance. Provides ongoing education and exhibits a willingness to share current knowledge with team members as necessary to help meet organizational goals. Maintain current knowledge about pre-certification process for all Federal, State, and 3rd party payors. Identifies systems issues impacting on the use of resources. Observance of or Patient Access Hospitality House Rules. Courtesy and politeness. Friendliness. Concern for each patient's well being. Sensitivity and prompt responsiveness to the patient's wants and needs. Cooperation with and helpfulness to the patient, members of the patient's family, visitors and co-workers. Pride in self, professions and the hospital. Respect for other people. Key Team partners include: Patient Accounting Team including Financial Counseling, Registration, Nursing Management, SPU staff, Physician Office staff, CBO management. Shares resources and information across boundaries to ensure customer needs are met and status of the revenue cycle is maximized. Supports proactive communication to enable high performance of all individuals. Ability to assess, prioritize and complete multiple tasks in a stressful environment. Judgement capability to differentiate between decisions which can be made independently and those that should be referred to management. Problem solving - take initiative to correct problematic situations. Communicates appropriately and effectively with supervisors, nurse managers, peers, patients/customers and outside agencies. Follow professional and proper telephone etiquette using interpersonal skills and required job knowledge (List). Effective management skills including but not limited to communication, conflict resolution, problem solving, work redesign and policy and procedure documentation. Working knowledge of hospital billing and reimbursement issues as they relate to information required at time of outpatient care. Epic Schedgistration Training (can be completed after hire). Proactively shares information and trends. Treats colleagues and staff with dignity and respect. Ensures absolute confidentiality. Creates a work environment that attracts and remains key talent. Facilitates the identification of common goals. Identifies opportunity for improvement. Prioritizes own work with minimal involvement of supervision. Takes personal responsibility for Department performance.

Credentials:

Education or Equivalent Experience:

H.S. Diploma/GED (Required)
Or equivalent requiredEducation Specialization:
Other (Required)
And 3+ years Minimum of 3 years experience in a healthcare environment or education in lieu of experience (Associate's or Bachelor's degree)Education Specialization:

We believe that the best care for our patients starts with the best care for our employees. Our employee benefits programs help our employees get healthy and stay healthy. We offer a comprehensive compensation and benefits program that includes one of the finest prepaid tuition assistance programs in the region. Penn Medicine employees are actively engaged and committed to our mission. Together we will continue to make medical advances that help people live longer, healthier lives.

Live Your Life's Work

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.

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insurance coordinator jobs in philadelphia pa

Insurance Pre-Cert Coordinator - Outpatient Infusion Services, at Perelman Center, FT Hybrid

Insurance Coordinator II | HomeHealth

Insurance Ver & Auth Coordinator

HR Coordinator (Bala Cynwyd, PA)

dental office patient care coordinator

Dental Eligibility and Insurance Coordinator

HR Coordinator (Bala Cynwyd, PA)

Dental Insurance Coordinator

Dental Billing & Insurance Coordinator

Commercial Title Insurance Coordinator

Intake & Community Engagement Coordinator

New Business Coordinator– JKJ Financial Services

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