Skip Navigation

Lead Intake & Insurance Verification Coordinator

Earth City, Missouri Apply Now Job ID 1149725 Category Health Insurance Operations Organization Foundation Care Schedule Full-time
Description:
Position Purpose: Obtain and verify complete insurance information, including the prior authorization process, copay assistance and coordination of benefits

  • Assist with managing the work load to ensure that referrals and orders are handled in a timely manner
  • Monitor each queue through various reports and redistribute work as appropriate
  • Serve as the point of contact for key physicians’ offices and coordinate referrals with the sales team during insurance verification process
  • Serve as the point of contact or designated rep for contracted payors
  • Serve as the point of contact or designated rep for special pharma accounts working with their HUB’s and collecting and documenting pharma
  • specific data in the system
  • Obtain and verify insurance eligibility for services provided and document complete information in system
  • Perform prior authorizations as required by payor source, including procurement of needed documentation by collaborating with physician offices and insurance companies
  • Collect any clinical information such as lab values, diagnosis codes, etc.
  • Determine patient’s financial responsibilities as stated by insurance
  • Configure coordination of benefits information on every referral
  • Ensure assignment of benefits are obtained and on file for Medicare claims
  • Bill insurance companies for therapies provided
  • Document all pertinent communication with patient, physician, insurance company as it may relate to collection procedures
  • Identify and coordinate patient resources as it pertains to reimbursement, such as copay cards, third party assistance programs, and manufacturer assistance programs
  • Handle inbound calls from patients, physician offices, and/or insurance companies
  • Qualifications:

    Education/Experience: High school diploma or equivalent. 3+ years of medical billing, insurance verification experience, call center, and/or previous experience as a lead managing cross functional teams required. Experience with payors and prior authorization requirements and strong customer service skills preferred.

    License/Certification:

    Foundation Care Only: Ability to complete Missouri Registered Pharmacy Tech application on 1st day of hire to obtain non-restricted Missouri Registered Pharmacy Tech within 30 days of hire OR Active Missouri Registered Pharmacy Tech license.

    Centene is an equal opportunity employer that is committed to diversity, and values the ways in which we are different. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or other characteristic protected by applicable law.
    Apply Now

    Check out this location

    See what's near our Earth City location.

    View Map

    Our Hiring Process

    Learn more about our hiring process and discover other helpful information for applicants.

    Learn More

    Sign up for Job Alerts

    Join our Talent Network and get Centene news and job alerts delivered to your inbox.

    Areas of InterestSelect a job category from the list of options. Search for a location and select one from the list of suggestions. Finally, click “Add” to create your job alert.

    • Health Insurance Operations, Earth City, Missouri, United StatesRemove

    Match Your Skills

    Let us search jobs for you based on the skills and experience listed in your LinkedIn Profile.

    Start Matching