Pre Certification Coordinator

Kindbody • Full-time • Remote (United States) • $21 - $23 / hour • 1w ago

About Kindbody

is a leading fertility clinic network and family-building benefits provider for employers offering comprehensive virtual and in-person care. Kindbody's clinically managed program includes fertility assessments and education, fertility preservation, genetic testing, in vitro fertilization (IVF), donor and surrogacy services, and adoption, as well as physical, mental, and emotional support from preconception through postpartum. Kindbody is the trusted fertility benefits provider for more than 110 employers, covering more than 2.4 million lives. Many thousands more receive their fertility care directly from Kindbody throughout the country at signature clinics, mobile clinics, and partner clinics. As the fertility benefits provider, technology platform, and direct provider of high-quality care, Kindbody delivers a seamless, integrated experience with superior health outcomes at lower cost, making fertility care more affordable and accessible for all.

About the Role

As an experienced Pre Authorization Coordinator ,you will be working in a fast-paced, rapidly growing environment where you will be relied on for your expertise, professionalism, and collaboration. This role is a full time remote position.

Responsibilities

Verify patient insurance benefits
Explain insurance coverage and treatment costs and identify the need for any pre-authorizations
Advise patients of coverage, limitations and exclusions, co-insurance, deductible, special
program requirements
Communicate coverage
Determine patient responsibility amounts iin advance of the related procedures
Serve as a Patient Advocate for patients when patients have difficulty navigating with their insurance company
Respond to patient calls/correspondence regarding billing questions, financial policies, claims submission
Review of medical records for required information related to authorization requirements
Communicate to clinic about preauthorization requirements and any update any changes
Update patient accounts, including verification of insurance coverage and changes in patient information, with appropriate documentation.
Respond to a high volume of telephone inquiries in a positive and professional manner, resolve and follow up on all issues within designated timeframes.
Meet positional metrics and benchmarks.
Maintain the highest degree of ethics when handling patient payments and bill processing
Follow all department standard operating procedures carefully and accurately
Other duties as assigned by supervisor.

General Administrative Duties:

Manage inbound customer communication (phone, email & chat) and ensure all messages are answered in a timely fashion
Maintain clear communication with the clinics about insurance requirements
Other duties and projects as assigned

Who You Are

2+ years of benefit verification and authorization experience strongly preferred
3+ years of healthcare front reception billing experience in a fast-paced, customer focused environment, Fertility clinic experience, a plus
Possess a strong working knowledge of insurance benefits, Managed Care policies
A passion for women’s health, fertility is a plus
Strong written and verbal communication skills & a team player
Willingness to be flexible, roll with the punches, multi-task and troubleshoot problems
Detail oriented with strong organizational skills
Exemplifies amazing customer service skills and professionalism
Medical terminology

Job Type: Full-time

Pay: $21.00 - $23.00 per hour

Work Location: Remote