Insurance Liaison

Community Health NetErie, PA

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Overview

Schedule

Full-time

Education

Medical Coding (CCA, CCS, CCS-P, CPC)

Career level

Senior-level

Remote

On-site

Benefits

Health Insurance

Job Description

Summary

Under the direction of the Controller, the Insurance Liaison plays a crucial role in fostering communication and collaboration between the Federally Qualified Health Center (FQHC) and various insurance providers. This position is responsible for managing insurance-related processes, verifying patient coverage, and ensuring accurate billing and reimbursement.

Essential Duties and Responsibilities

* Insurance Verification:

-Verify patients' insurance coverage and eligibility.

- Collaborate with patients to obtain necessary insurance information.

- Update and maintain accurate insurance records.

* Billing and Coding:

-* Work closely with billing and coding staff to ensure accurate claims submission.

-* Review claims for completeness and accuracy before submission.

-* Address any insurance-related issues emerging during the billing process.

* Communication with Insurance Providers:

-* Establish and maintain strong relationships with insurance company representatives.

-* Regularly communicate with insurance representatives accordingly.

-* Stay informed about changes in insurance policies and procedures.

* Patient Education:

-* Provide patients with information regarding their insurance coverage and benefits.

-* Assist patients in understanding and navigating the insurance process.

-* Address patient inquiries related to insurance matters.

* Claims Resolution:

-* Investigate and resolve insurance-related claim denials and/or rejections by means of the worklog.

-* Work proactively to prevent claim denials through accurate documentation and communication.

* Maintains all passwords for the Managed Care/Third Party carriers who allow verification via provider websites.

* Maintains confidentiality of all information/adheres to all HIPPA guidelines/regulations.

* Responsible for ensuring external and internal telephone calls are answered in a professional and timely manner in accordance with department policies, procedures, and performance goals.

* Perform other duties that may be assigned by Controller.

Requirements/Qualifications

* High school diploma or General Education Degree (GED)

* Preferred minimum of three (3) years' experience in one or more of the following: Medical/ Dental Coding Certification and/or knowledge of Current Medical Terminology (CMT), Current Dental Terminology (CDT)

* Relevant work experience in a medical or dental office setting.

* Higher level knowledge of Excel

* Ability to effectively communicate both verbally and in writing. Additionally, establish and maintain effective working relationships with employees, departments, and the public.

* Ability to work independently and with a team to obtain objectives.

•* Proficient in office productivity tools such as Google, email, scanner, etc.

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FAQs About Insurance Liaison Jobs at Community Health Net

What is the work location for this position at Community Health Net?

This job at Community Health Net is located in Erie, PA, according to the details provided by the employer. Some roles may also include multiple work locations depending on the requirement.

What pay range can candidates expect for this role at Community Health Net?

Employer has not shared pay details for this role.

What employment applies to this position at Community Health Net?

Community Health Net lists this role as a Full-time position.

What experience level is required for this role at Community Health Net?

Community Health Net is looking for a candidate with "Senior-level" experience level.

What education level is required for this job?

The education requirement for this position is Medical Coding (CCA, CCS, CCS-P, CPC). Candidates with relevant qualifications or equivalent experience may also be considered.

What benefits are offered by Community Health Net for this role?

Community Health Net offers Health Insurance for this position. Actual benefits may vary depending on the employer's policies and employment terms.

What is the process to apply for this position at Community Health Net?

You can apply for this role at Community Health Net either through Sonara's automated application system, which helps you submit applications 10X faster with minimal effort, or by applying manually using the direct link on the job page.