Group Coordinator

1 - 6 Years

Job Description

Verifies insurance eligibility and benefits of prospects/ referrals and determines rate requirements as it relates to in or out of network coverage on a daily basis in an accurate and timely manner.
• Communicates patient benefits in a timely manner using the appropriate system and associated software application as found in patient notes, tasks, workflow, email and or phone calls with insurance agencies.
• Documents and forwards patient deductible, out-of-pocket expense, life time maximum, home health or hospice days, and patient responsibility to client in an accurate and timely manner.
• Reviews and replies to stat and urgent requests in a timely and accurate manner.
• Obtains all authorization as needed from payer for services ordered/requested in a timely manner
• Documents specific details related to the authorization including effective and end dates using the appropriate system and associated software application for patient notes, authorizations, tasks, workflow, phone calls and/or email.
• Serves as a liaison between the site location and the staff on a regular basis.
• Coordinates and communicates with the site location regarding any changes or updates in a timely manner.
• Resolves all client requests, inquiries, and concerns in an expedient and respectful manner.
• Problem solves independently before referring issues to the Supervisor/Manager for resolution.
• Performs eligibility and or similar, comparable, or related duties as may be required or assigned
• Manages the team for the site and reports to the Team Lead/manager of that site.
• As a subject matter expert in respective region and insurance plans, you will identify solutions while maintaining positive relationships with clients. You’ll work collaboratively with client staff and other operations teams to provide the most efficient order process for our recipients.
• Produce daily reports for client and monthly reports for submission to client.
• Ensure compliance with company policies.

Salary: Not Disclosed by Recruiter

Industry:BPO / Call Centre / ITES

Functional Area:ITES, BPO, KPO, LPO, Customer Service, Operations

Role Category:Quality

Role:Quality Coach


Desired Candidate Profile

Please refer to the Job description above

Company Profile

Catalyst Corporate Services Pvt Ltd

Our company is involved in providing corporate services in different areas. Our company is a 28 yrs old established company promoted by professionals & working with well known companies.
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Contact Company:Catalyst Corporate Services Pvt Ltd