Be responsible for oversight of the insurance authorization process regarding case management of care clusters and patient pathways. To include timely and complete processing of eligibility and benefit verification, initial and ongoing authorization requests following set guidelines and accurate entry of related information in designated software system. Review and build

Verifies patient benefits by phone or insurance platform. Documents benefits into Therapy Source New Patient Registration (NPR). Provide insurance data support to the clinics and Central Billing Office. Provide support with Special Projects. Essential Functions Verifies insurance eligibility by phone or approved online platforms. Knowledge of in network payers with use of

Coordinates Medicare and Medicaid enrollment/re enrollment and managed care credentialing and contracting processes for providers. Serves as administrator for billing system and assists practices with system issues. Maintains NPI files and provider numbers. Serves as customer service liaison. Monitors accounts receivable to maintain appropriate levels and reviews payments