• provide support, coaching, feedback, process improvement, performance management, and client management • drive team performance, manage outliers, coaching agents, and monitoring of calls • hire, train, coach, and lead sales agents • assist other management team members in identifying trends and establishing goals • ensure staff members are achieving desired service levels and take corrective action • prepare reports and analyze data to improve processes • continuously improve through feedback

Title: Insurance Verification Specialist I #Full Time #Remote Location: Remote, NY Department: CRO - Ins Verification NY Job Description: Top Healthcare Provider Network The 61st Street Service Corporation, provides administrative and clinical support staff for ColumbiaDoctors. This position will support ColumbiaDoctors, one of the largest multi-specialty practices in the Northeast. ColumbiaDoctors’ practices comprise an experienced group of more than 2,800 physicians, surgeons, dentists, and nurses, offering more than 240 specialties and subspecialties. This position is primarily remote, candidates must reside in the Tri-State area. Note: There may be occasional requirements to visit the office for training, meetings, and other business needs. Opportunity to grow as part of a Revenue Cycle Career Ladder! Job Summary: The Insurance Verification Specialist I specializes in verifying patient insurance coverage, to ensure that correct insurance information needed is secured in the practice management system. This position requires professionals to spend extensive time researching accounts to determine correct insurance coverage and heavy interaction with insurance companies and patients. - Resolve accounts with unverified insurance coverage. - Researches system notes to discover proper insurance coverage. - Contacts patient as appropriate to obtain proper insurance coverage - Contacts insurance company(s) as appropriate. - Verifies insurance via system tools, payer portals (Electronic Query (Real-Time-Eligibility [RTE]/Insurance Payer Portal/Phone), obtain benefit coverage. - Confirms effective and termination dates of patient insurance and updates patient's insurance coverage and changes in the billing system. - Resolves any issues with coverage and escalates any complications to supervisor/manager. - Corrects identification and selection of appropriate registered insurance. - Corrects errors in various work queues to ensure correct claim filing or refiling of denied claims. - Notifies the servicing provider’s office personnel in a timely manner if registration is lacking critical information needed to bill for services. - Performs other job duties as required. Job Qualifications: - High school graduate or GED certificate is required. - A minimum of 6 months’ experience in a physician billing or third party payor environment. - Candidate must demonstrate the ability to understand and navigate the insurance verification process including coordination of benefits, including in depth understanding of In/Out of Network Benefits and how they relate to co-insurance and deductibles due. - Candidate must demonstrate a strong customer service and patient focused orientation and the ability to communicate, adapt, and respond to complex situations. Including the ability to diffuse complex situations in a calm and professional manner. - Must demonstrate effective communication skills both verbally and written. - Ability to multi-task, prioritize, and manage time effectively. - Functional proficiency in computer software skills (e.g. Microsoft Word, Excel and Outlook, E-mail, etc.) - Experience in Epic and or other of electronic billing systems is preferred. - Proficiency in health insurance benefits, eligibility requirements and obtaining authorizations is preferred. - Knowledge of insurance billing requirements is preferred. - Knowledge of medical terminology, diagnosis and procedure coding is preferred. - Previous experience in an academic healthcare setting is preferred. Hourly Rate Ranges: $23.56 - $28.85 Note: Our salary offers will fall within these ranges based on a variety of factors, including but not limited to experience, skill set, training and education. 61st Street Service Corporation At 61st Street Service Corporation we are committed to providing our client with excellent customer service while maintaining a productive environment for all employees. The Service Corporation offers a competitive comprehensive Benefit package to eligible employees; including Healthcare and various other benefits including Paid Time off to promote a healthy lifestyle. We are an equal employment opportunity employer, and we adhere to all requirements of all applicable federal, state, and local civil rights laws.

Title: Insurance Ver & Auth Coordinator Location: Marlton, New Jersey, 08053, United States Job category: Administrative Support/Non Clinical Job Requisition number: INSUR002000 - Full-time - Hybrid - Locations Showing 1 location Marlton, NJ 08053, USA Job details Description Insurance Verification & Authorization Coordinator Hybrid (One day in Marlton & one day in West Deptford) Full Time, Monday through Friday Salary range: $26.00-$28.00 per hour Benefits: - 401(k) - Medical, Dental, and Vision Insurance - Paid Time Off - Tuition reimbursement - Employee discounts on gym memberships, cell phone packages, hotels, rental cars, computers, amusement parks, theater tickets, and more! MUST have experience in the following: - healthcare insurance verification - benefits investigation - patient access - prior authorization processes - medical billing - revenue cycle operations - denial prevention strategies - Medicare, Medicaid, and commercial insurance plans Position Summary: The Insurance Verification & Authorization Coordinator is responsible for ensuring patients are financially cleared for services prior to treatment through comprehensive insurance eligibility verification, benefits investigation, prior authorization management, and patient financial counseling. This role serves as a liaison between patients, providers, insurance carriers, and internal departments to facilitate timely access to care while maximizing reimbursement and minimizing claim denials. The ideal candidate possesses a strong understanding of commercial, Medicare, Medicaid, and managed care insurance plans, prior authorization requirements, behavioral health benefits, and revenue cycle best practices. Key Responsibilities: Insurance Eligibility & Benefits Verification - Verify insurance eligibility, coverage, and benefits for all scheduled patients prior to services. - Investigate and document deductible, coinsurance, copayment, out-of-pocket maximum, authorization, referral, and network participation requirements. - Accurately enter and maintain patient demographic and insurance information within the electronic health record (EHR) and practice management system - NextGen. - Identify coverage issues and proactively contact patients, insurance carriers, or referral sources to obtain updated information. - Communicate patient financial responsibility estimates when applicable. - Ensure all required insurance and demographic information is obtained prior to the patient's first appointment. Prior Authorizations & Referrals - Initiate, submit, track, and obtain prior authorizations and referrals for behavioral health and medical services. - Monitor authorization expiration dates, visit utilization, and extension requirements. - Coordinate with providers and clinical staff to obtain supporting documentation required by payers. - Maintain current knowledge of payer-specific authorization guidelines, medical necessity requirements, and clinical policies. - Escalate authorization concerns that may impact patient care or reimbursement. Patient Financial Counseling - Educate patients regarding insurance coverage, benefits, authorization requirements, and financial responsibility. - Discuss copays, deductibles, coinsurance, and out-of-pocket obligations in a clear and professional manner. - Collect patient payments and process credit card transactions in accordance with company policies. - Assist patients with payment arrangements, financial assistance applications, and related documentation as appropriate. Communication & Customer Service - Respond promptly to telephone, voicemail, email, fax, and electronic inquiries from patients, providers, insurance carriers, and internal departments. - Provide exceptional customer service while maintaining professionalism and confidentiality. - Serve as a resource to patients and staff regarding insurance-related questions and coverage concerns. - Collaborate with intake, clinical, billing, and revenue cycle teams to resolve eligibility and authorization issues. Revenue Cycle Support - Identify and resolve front-end revenue cycle issues that could result in claim denials or delayed reimbursement. - Review payer requirements and communicate changes that impact patient access, reimbursement, or operational workflows. - Maintain accurate account notes and documentation of all payer and patient communications. - Assist with denial prevention efforts by ensuring eligibility and authorization requirements are met prior to service. - Monitor assigned work queues and productivity metrics to ensure timely completion of tasks. Compliance & Quality - Maintain compliance with HIPAA, confidentiality standards, and organizational policies. - Adhere to established departmental workflows, quality standards, and performance expectations. - Participate in staff meetings, training sessions, and process improvement initiatives. - Identify workflow inefficiencies and recommend solutions to improve operational effectiveness and patient experience. Preferred Experience & Qualifications: - Minimum of 3–5 years of experience in healthcare insurance verification, patient access, prior authorizations, medical billing, or revenue cycle operations required; behavioral health experience strongly preferred. - High school diploma or equivalent required. · Strong understanding of insurance eligibility verification, benefits investigation, referrals, and prior authorization processes. · Working knowledge of revenue cycle operations and denial prevention strategies. · Experience working with Medicare, Medicaid, commercial insurance plans, and managed care organizations required. · Proven ability to identify billing trends, troubleshoot issues, and recommend process improvements. · Familiarity with payer regulations, reimbursement methodologies, and compliance requirements, including CMS and HIPAA. · Working knowledge of electronic health record (EHR) and practice management systems, preferably NextGen. · Familiarity with medical terminology, CPT codes, diagnosis codes, and payer requirements. · Proficiency in Microsoft Office Suite, including Outlook, Excel, and Word. · Excellent organizational skills with the ability to manage multiple priorities and deadlines. · Strong analytical and problem-solving abilities. · Exceptional verbal and written communication skills. · Ability to maintain accuracy and attention to detail in a fast-paced environment. · Ability to work independently while collaborating effectively with cross-functional teams. · Knowledge of clearinghouse platforms (e.g., Waystar) is a plus. Physical Demands: The physical demands described here are representative of those that an employee must meet to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to stand, walk, and talk or hear. The employee frequently is required to use hands to finger, handle, or feel objects, tools, or controls; reach with hands and arms; and climb or balance. The employee is occasionally required to sit and stoop, kneel, crouch, or crawl. The employee must frequently lift and/or move up to 50 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus. #IND Qualifications Education Preferred High School or better. Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.

Role Description SmartScale360 is actively hiring a Healthcare Coordinator to support our growing home care clients across the United States. If you have experience in healthcare scheduling, home care scheduling, patient coordination, caregiver scheduling, workforce management, or staffing coordination, we'd love to hear from you. Key Responsibilities - Schedule and coordinate caregiver shifts for US home care clients - Monitor attendance, call-offs, and schedule adherence - Fill open shifts and ensure continuous patient coverage - Coordinate shift changes and caregiver replacements - Communicate with caregivers, patients, clients, and internal teams - Maintain accurate records within scheduling platforms - Generate scheduling, staffing, and attendance reports - Support daily workforce management and scheduling operations Qualifications - At least 1 year of experience in Healthcare Scheduling, Patient Coordination, Workforce Management, Dispatching, Staffing Coordination, or Home Care Scheduling - Experience supporting US Healthcare, Home Care, Staffing, Healthcare BPO, or Medical Accounts - Excellent English communication skills - Strong organizational and multitasking abilities - Experience using scheduling or workforce management software - Reliable work-from-home setup Requirements - Device: Intel i5 + 8 GB RAM minimum - 100 Mbps internet - Backup device, internet, and power supply Preferred Qualifications - Experience supporting US Home Care agencies - Experience with WellSky, AxisCare, ClearCare, CareSmartz360, NICE, Verint, or similar scheduling platforms - Experience handling caregiver scheduling and patient coordination - Strong Microsoft Excel and reporting skills Important Note To help streamline the hiring process, candidates are encouraged to secure an NBI Clearance upon application to avoid delays during client matching. Benefits - 10 days PTO - Annual Appraisal - Career Growth Opportunities - Healthcare Benefits Company Description Join a supportive team, grow your career, and play a key role in ensuring patients receive the care they need. Apply now and help us make home care seamless for U.S. clients!