Description

Coordinate and manage patient insurance verification, eligibility checks, pre-authorizations and claims submission to ensure accurate and timely reimbursement.

Serve as the primary liaison between patients, healthcare providers and insurance carriers to resolve coverage questions, denials and claim disputes.

Review insurance policies, calculate benefits and patient responsibility, prepare estimates, and support billing and collections activities.

Maintain and update insurance records and billing systems, ensuring compliance with regulatory requirements and internal policies.

Track denials and appeals, prepare documentation for appeals, and collaborate with clinical and finance teams to improve revenue cycle performance.