INSURANCE COORDINATOR
NMC HOSPITAL
مجموع سنوات الخبرة :7 years, 7 أشهر
• Managing works in the department by planning, organizing and directing the hospital insurance programs.
• Maintaining relations with insurance providers and provide customer service and liaison between the patients, physicians, nurses, medical coders and insurance company.
• Managed filing and tracking insurance claims and informed patients of their claims status
• Processed insurance and disability claims in a timely manner..
• Handled patient’s queries regarding unpaid balances.
• Circulated documentation as needed for reviewing.
• Prepared insurance forms and associated correspondences.
• Strong accomplished experience in insurance and medical business office.
• Sound knowledge medical terminology and insurance practice.
• Good knowledge of all plans and medical invoices
• Proficient in Computer Programs and application.
• Excellent communication skills and customer service Skills
• Outstanding ability to maintain strong relations with Physicians, employees, patients and Insurance companies.
• Clarifies discrepancies in documentation and coding.
Communicates with pharmacy benefit managers to determine patient coverage for the requested medication, and to help navigate through complex reimbursement issues.
•Researched and solved claim and billing issues.
•Interfaced with insurance carriers and other healthcare providers
•Assisted patients with eligibility and benefit coverage questions
•Worked with department staff to research, identify and provide solutions to client and insurance company inquiries.
•Provided administrative support to senior-level staff.
•Successfully trained other staff members on processes such as patient discharge, cashier functions, insurance verification and obtaining insurance authorizations.
•Communicated with the responsible party of a patient to explain coverage limits and out of pocket expenses prior to schedule of surgery.
•Researched and resolved insurance billing issues.
•Networked between patients, doctors and insurance companies to assure positive outcomes regarding billing.
•Provided insurance companies with requested documentation.
•Contacted insurance companies regarding unprocessed claims.
•Resolved insurance disputes.
•Reviewed and corresponded to emails daily.
•Contacting patients to inform them on how much their procedure will cost them based on their insurance's deductibles, out-of-pockets, co insurances, and co payments.
•Corrected insurance discrepancies.
•Verified insurance eligibility and referrals.
•Managed all claim denials, and correcting any issues that needed to be fixed.
•Good communication skills with patients.
•Created, organized, and maintained client documents and files
in
Nagar Banglore