Insurance Verification Coordinator

Insurance Verification Coordinator

Full-Time

Who We Are
We are a patient-focused healthcare services provider dedicated to improving quality of life through compassionate support and delivery of medical equipment to patients in their homes and care settings. Our team values professionalism, clear communication, and helping patients maintain independence and comfort.

About the Role

This position is responsible for initiating contact with insurance carriers to obtain prior authorizations and durable medical equipment benefits. Providing effective communication is the key to this role.

What You'll Do - Key Responsibilities

• Obtain prior authorizations and insurance verifications for durable medical equipment
• Obtaining patient’s deductible and benefit information to determine insurance coverage.
• Making and receiving calls on the status of authorizations
• Following up on authorization requests
• Data entry of information into the Kinex system for Distributor reference
• Maintain insurance guidelines as necessary to the equipment being provided.
• Maintain equipment knowledge to ensure proper verification and authorization is obtained
• Understanding medical review policies and procedures to qualify patients appropriately
• Understand Commercial and Government insurance rules and regulations and work to improve outcomes on these orders

Who We're Looking For - Qualifications

Required:

• High school diploma or equivalent.

Preferred, but not required:

• Two years’ experience in health care field as insurance or authorization processor, customer service representative or comparable training/experience
• Knowledge of medical terminology
• ICD-9/HCPCS Coding preferred
• Strong PC Software and Web skills: MS Work, Excel, Outlook, and web-based tools
• Strong ability to use the English language properly in written and oral communication
• Have strong mathematical skills with the ability to add, subtract, multiply, and divide into all untis of measure, using whole numbers, common fractions, and decimals
• Ability to solve problems within minutes and also recognize analogous situations and solutions

Professional Approach

• Display on time attendance and dependability
• Maintain the company’s image and reputation at the highest level possible
• Conduct oneself in a professional and ethical manner
• Maintain a positive and compassionate attitude
• Treat all information and data with appropriate confidentiality and security
• Be able to positively resolve conflicts

Physical Demands

• To perform this job successfully an individual must have the ability to work in a sitting position at a computer for up to 8 hours per day. Specific vision abilities required by this job include close vision. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

What You’ll Get — Compensation & Benefits

• Competitive Salary
• Paid Time Off & Holiday Pay
• Health, Dental & Vision Insurance Options
• Supportive team environment with structured onboarding

Equal Opportunity Employer

It is the policy of the Company that no person may be illegally discriminated against in applying for employment or in employment. Accordingly, all employment decisions are based on the principles of equal opportunity. These decisions include recruitment, selection, promotion, transfer, discipline, compensation, benefits, training, and other personnel actions involving persons in all job titles and shall occur without regard to creed, race, color, religion, sex/gender, age, national origin/ethnicity, ancestry, arrest record, disability, genetic information including testing, veteran/military status/service, membership in the National Guard, state defense force or any other reserve component of the military forces (either state or the United States), political affiliation/orientation, declining to attend a meeting or to participate in any communication about religious matters or political matters, marital family status, sexual orientation, gender, gender identity or gender expression, or the authorized use of family or medical leave or worker's compensation benefits, genetic information, pregnancy, harassment, equal pay/compensation, retaliation, familial status/parenthood, citizenship or immigration status, disease (i.e. HIV or AIDS), marital status, hairstyles, mental health, status of tobacco usage, breastfeeding, domestic abuse, public assistance status or any other factor prohibited by state or federal law. Kinex Medical operates in several states throughout the U.S. State law may require additional protected characteristics; please check the Equal Employment Opportunity section in the state addendum that aligns with the employee’s work location. Our Company is committed to following any additional state requirements regarding this topic. Reasonable accommodations shall be made for qualified individuals with a disability, unless such accommodations would impose an undue hardship on the Company. A reasonable accommodation is a change or adjustment to job duties or work environment that permits a qualified applicant or employee with a disability to perform the essential functions of a position or enjoy the benefits and privileges of employment compared to those enjoyed by employees without disabilities. Requests for accommodations under the Americans with Disabilities Act or under a state regulation (i.e. the Wisconsin Fair Employment Act) from current employees must be made in writing in accordance with Company policy.

Job Type: Full-time

Pay: $17.50 - $20.00 per hour

Benefits:

• 401(k)
• 401(k) matching
• Dental insurance
• Flexible schedule
• Health insurance
• Health savings account
• Life insurance
• Paid time off
• Vision insurance

Experience:

• Insurance verification: 1 year (Preferred)
• Medical billing: 1 year (Preferred)

Work Location: Remote