Verification Coordinator

Job Summary

A company is looking for a Verification/Authorization Coordinator.

Key Responsibilities

• Review referral information for accuracy in the applicable EMR system
• Obtain authorizations for home care/hospice services from insurance payors while ensuring compliance with confidentiality regulations
• Enter patient benefit and authorization information into the EMR system and respond to inquiries regarding referrals and authorizations

Required Qualifications

• High school diploma or equivalent
• Two years' experience in a medical office or home health benefit verification or billing
• Knowledge of commercial insurance carriers' guidelines and criteria for verification, authorization, and reimbursement
• Familiarity with insurance billing and terminology
• Post-secondary education or training in business or medical billing/collections is preferred