Coordinator - Insurance Verification

Title:  Coordinator - Insurance Verification 

Reports to:  Operations Manager  

Location – onsite/hybrid:  Onsite 

Hours: Monday-Friday 8:30am-5pm  

Who we are: 

Spire Orthopedic Partners is a growing national partnership of orthopedic practices that provides the support, capital and operational resources physicians need to grow thriving practices for the future. As a Management Services Organization (MSO), Spire provides the infrastructure for administrative operations that allows practices to operate at their highest level, so doctors can focus their efforts on what matters most – patient care. Rooted in the 100-plus-year legacy of its founding partners, the network spans the Northeast with 128 physicians, over 1100 employees, and 28 locations from Connecticut, New York, and Massachusetts 

What you’ll do: 

Responsibilities/Duties:  

• Verifies insurance benefits on all patient appointments on payer portals or by calling payors to determine level of insurance coverage. 

• Identifies correct payer plans within the practice management system to add coverage to accounts. 

• Documents accurate demographics into practice management system 

• Responds to insurance eligibility questions from clinic staff timely. 

• Assist patients on PCP and network changes, if necessary, prior to appointment 

• Calls patients to obtain insurance information if lapsed or missing. 

• Notifies supervisor of any system errors including Real Time Eligibility (RTE) being down 

• Coordinates with and provides feedback to supervisor on process improvements, trends, errors, or issues as related to the registration process by clinic/user. 

• Other duties as assigned. 

Who you are: 

Qualifications:  

• GED/High school Diploma 

• At least 2 years of Insurance Verification experience preferred.

What we offer: 

• Excellent growth and advancement opportunities 

• Dynamic environment 

• Access to a diverse network of practitioners 

• Broad infrastructure of tools and programs to enhance the employee experience  

• Competitive Compensation 

• Generous PTO 

• Benefits package: health, dental, vision, 401(k), etc. 

We are an equal-opportunity employer. Qualified Applicants are considered for positions and are evaluated without regard to actual or perceived race, color, creed, religion, national origin, ancestry, citizenship status, age, sex, or gender (including pregnancy, childbirth, and related medical conditions), gender identity or gender expression (including transgender status), sexual orientation, marital status, military service and veteran status, physical or mental disability, protected medical condition as defined by applicable state or local law, genetic information, or any other characteristic protected by applicable federal, state, or local laws and ordinances (referred to as “protected characteristics”). 
 

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