Customer Service

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Patient Insurance Navigator

Winston Salem, NC 27103

Employment Type: Contract To Hire Industry: Customer Service Job Number: 92182 Branch: Clerical/Professional

Job Description


The Resource is now hiring a Patient Insurance Navigator for our healthcare client located in Winston-Salem! This is a Temp-to-Hire opportunity with a pay rate of $17.00-19.00 per hour (based on experience) and a 1st shift working schedule (8:00am- 5:00pm).  Training schedule varies between 7:30am - 5:00 pm. Candidates will train on-site for 2-3 months and then there is a possibility to transition to a remote role( must meet metrics and attendance requirements). Responsible for verification of patient eligibility, the pre-certification of services as required, ensuring coverages are updated, validating authorizations already on file, and providing price estimates upon request. Ideal candidates for this role MUST have experience with pre-authorization for medical procedures, excellent communication skills, basic medical terminology knowledge, and exemplary keyboarding skills. If you're seeking a new role and feel this opportunity would be a great fit for you, Apply Today!

Responsibilities:
- Responsible for verification of patient eligibility, the pre-certification of services as required, ensuring coverages are updated, validating authorizations already on file, and providing price estimates upon request
- Verify patient’s insurance status and benefit eligibility
- Accurately determine the patient un-met deductible, co-insurance, and co-payment amounts
- Accurately and timely provide for any pre-authorization or pre-certification of services
- Communicate with center staff, referring offices, team members, leaders, and schedulers
- Provide a high level of customer service with the goal of maintaining low cancellation and authorization denial rates while increasing Time of Service collection rates
- Meet or exceed established quality assurance standards and maintain customer experience expectations
- Meet or exceed expectations related to phone and instant message response time and the quality of service provided in those interactions
- Ensure patients that are not approved or covered for services are notified timely and provided all options, including rescheduling and waivers
- Provide price estimates prior to scheduling when requested.
- Other duties as assigned

Qualifications:
- High School Diploma or GED
- 2 years’ experience
- Ability to understand basic medical terminology
- Knowledge of pre-certification process for insurance companies
- Ability to calculate deductible and coinsurance correctly

Submit your application or resume online, or in person at 1292 S. Stratford Rd. Winston-Salem, to be considered for this position. For more information, Call/Text our office at 336.896.1000.

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