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Billing Coordinator
Job Number: #2017-17
Location: St. Paul, MN

EnteroMedics is looking for a Billing Coordinator. The Billing Coordinator will work with patients who are self pay (non-covered) or under-insured as well as verify and obtain prior-authorizations for insured patients as required by insurance companies and their plans. The Coordinator will establish and maintain strong relationships with payors and vendor representatives, patients, providers, doctors and staff as well as in-house team-members (Sales, PRCs) in an effort to ensure coverage and continuity of care throughout the in-plant process.

ESSENTIAL FUNCTIONS

  • Gather information and perform benefit investigation, verification and preauthorization (as required) with employers, insurers/payors, VA programs and self-pay programs and options.

  • Effectively manage and document all insurance information, verification and prior authorization as well as self-pay programs.

  • Conducts financial and reimbursement analysis based upon information received from the insurance company, plan and other payor options.

  • Ensure information is received in a timely manner and oversee problem resolution related to the patient's medical record, authorization needs and requirements and issues.

  • Keeps patient informed and up to date, answering questions in a timely manner and working to obtain information related to authorization needs and other requirements.

  • Keeps team-members, staff, doctors and those that need to know, up to date on coverage status.

  • Practices the highest level of confidentiality, handling information with discretion, adhering to company policies and procedures and HIPAA guidelines.

  • Demonstrates the ability to think independently and make accurate and timely decisions, assess and resolve problems effectively.

  • Tracks patients from initial contact through resolution.

  • Other duties as assigned

MINIMUM REQUIREMENTS

  • Bachelors Degree preferred

  • 3+ years prior authorization experience, medical device experience a plus

  • Knowledge of medical terminology

  • Experience working in Microsoft Office, Excel, and customer relationship software.

  • Experience dealing with payors (insurance companies, VA, medicare/MAC, and self-pay programs)

  • Ability to work independently, following established procedures and guidelines, utilizing sound judgement and confidentiality.

  • Overall knowledge of authorization, benefits and claims processing for insurance companies and plans

  • Is empathetic to patients/others, communicating effectively on the phone and face to face. Responding in a timely manner, following through on open ended items and resolving issues.

 If you are interested in applying for this position, please fill out this form to submit your resume.