Insurance Coordinator at Sigma Consult

About Our Client:

Our client is a reputable healthcare facility in Lagos State, Nigeria, dedicated to providing high-quality medical services and ensuring seamless financial transactions for patients and insurance providers. With a focus on efficiency and accuracy, our client seeks to optimize insurance processes and maximize reimbursement for healthcare services.

Role Summary:

As an Insurance Coordinator at our client's healthcare facility, you will be responsible for coordinating insurance-related activities, including verifying patient insurance coverage, processing insurance claims, and communicating with insurance providers to facilitate reimbursement for medical services rendered.

Responsibilities:

• Verify patient insurance coverage and eligibility prior to scheduling appointments or services.
• Obtain and record insurance authorization for medical procedures, tests, and treatments as required by insurance policies.
• Submit accurate and timely insurance claims for reimbursement of medical services provided to patients.
• Monitor the status of insurance claims and follow up with insurance providers to resolve any issues or discrepancies.
• Communicate with patients regarding their insurance coverage, benefits, and financial responsibilities, including copayments, deductibles, and out-of-pocket expenses.
• Collaborate with billing and coding staff to ensure accurate coding and documentation for insurance claims submission.
• Maintain detailed records of insurance transactions, including patient insurance information, claim submissions, and reimbursement payments.
• Stay updated on changes in insurance regulations, coding guidelines, and reimbursement policies to ensure compliance and maximize reimbursement.

Requirements:

• Bachelor's degree in Healthcare Administration, Business Administration, or related field.
• Proven experience working in insurance coordination or medical billing role, preferably in a healthcare setting.
• Knowledge of insurance verification, authorization, and claims processing procedures.
• Familiarity with medical billing software and electronic health records (EHR) systems.
• Strong attention to detail and accuracy in data entry and documentation.
• Excellent communication and interpersonal skills.
• Ability to work independently and collaborate effectively with multidisciplinary teams.

Benefits:

• Competitive salary package.
• Opportunities for professional development and career advancement.
• Supportive work environment fostering collaboration and innovation.
• Comprehensive benefits package including health insurance and retirement benefits.