- Review insurance eligibility and coverage issues for patient appointments three days in advance using the EHR.
- Contact payers and families to resolve insurance issues prior to visits.
- Serve as the primary escalation contact for scheduling and practice-based reception teams regarding eligibility.
- Follow up post-visit on PCP assignment and Coordination of Benefits (COB) issues.
- Document accurate insurance information in the EHR system.
- Work with front desk staff to coordinate co-pay and self-pay fee collections.
- Identify and communicate trends in eligibility or coverage issues to leadership.
- Maintain HIPAA compliance and confidentiality at all times.
HIPAA