Insurance Verification Coordinator Department Corporate Req# 36267 Schedule full-time Shift day shift Hours Mon-Fri occasional weekends Job Details High school or GED Job Summary: This position is accountable to obtain and verify all patient insurance and pre-authorization information for all outpatients receiving imaging services at Medical Imaging of Fredericksburg (MIF). Additionally, the Insurance Verification Coordinator supports the mission, vision, values, and strategic initiatives of Mary Washington Healthcare and demonstrates a commitment of quality service to our patients and their families, the community, the physicians, and our Associates. As an EOE/AA employer, the organization will not discriminate in its employment practices due to an applicant's race, color, religion, sex, sexual orientation, gender identity, national origin, and veteran or disability status. Essential Functions and Responsibilities: Greets all patients, visitors, family members, physicians, and Associates in a courteous and professional manner. Addresses customers' needs efficiently, effectively, and confidentially. Answers telephones courteously, professionally, and by the third ring. Screens and transfers telephone calls or takes messages as appropriate to facilitate effective Radiology communications. Delivers messages in a timely manner. Communicates with insurance companies to determine appropriate benefits, required co-pays, documents pre-authorizations, and prorates bills with management approval, to accurately secure proper reimbursement from insurance companies and patients. Contacts patients/guarantors to communicate requirements under certain insurance plans. Serves as the MIF liaison to the patient/guarantor, insurance company, and physician office to ensure all necessary approvals for services rendered and received are documented appropriately. Enters all necessary pre-authorization documentation into Radiology Management Systems (RMS) via the revised schedule information screen to ensure correct transfer of information for billing, and efficient follow-up with patients/guarantors and third-party payers. Maintains insurance specific information and requirements and communicates changes to MIF management. Reviews pre-authorization denial reports provided by the billing company to ensure accuracy of the pre-authorization process. Provides assistance in other areas of the Scheduling departments as needed. Monitors and maintains an adequate inventory of office supplies and materials to ensure smooth operations in the work area and non-interruption of patient services. Participates in Performance improvement activities by utilizing the FOCUS PDCA (Plan, Do, Check, Act) approach to improvement. Remains proficient in the use of Order Facilitator, Soarian, Syngo, Phreesia, RIS, insurance verification websites and other Radiology or Information Management systems as needed. Performs other duties as assigned. Qualifications: High school diploma or equivalent. Two (2) years related experience in patient registration, patient accounts, or patient billing preferred. Must demonstrate typing speed of 40 wpm and be keyboard literate. Experience in third party insurance and insurance terminology preferred. Basic computer skills Legible handwriting.