RCM Insurance Coordinator at National Spine And Pain Centers LLC

Miami, Florida, United States -

Full Time

Start Date

Immediate

Expiry Date

16 Jun, 26

Salary

0.0

Posted On

18 Mar, 26

Experience

0 year(s) or above

Remote Job

Yes

Telecommute

Yes

Sponsor Visa

Skills

Insurance Eligibility Verification, Referral Obtaining, Cost Estimation, Patient Access, Revenue Cycle Processes, Payer Guidelines Compliance, EMR Documentation, HMO, PPO, Medicare, Medicaid, CPT Codes, ICD-10 Codes, Communication Skills, Attention To Detail, Microsoft Office Suite

Industry

Medical Practices

Description

Position Summary The RCM Insurance Coordinator plays a vital role in patient access and revenue cycle processes by ensuring all necessary financial and insurance-related clearances are obtained prior to scheduled medical services. Responsibilities include verifying patient insurance eligibility, obtaining referrals, generating out-of-pocket cost estimates, and communicating with patients and payers to prevent delays in care. This role supports operational efficiency, compliance with payer guidelines, and a seamless patient experience across National Spine & Pain Centers (NSPC). Duties and Responsibilities Verify patient insurance eligibility and benefits for scheduled services (inpatient, outpatient, diagnostic, and surgical). Obtain and document referrals from insurance carriers in accordance with payer requirements. Generate and communicate accurate patient cost estimates. Contact patients to review insurance benefits, financial responsibility, and available payment options. Collaborate with scheduling and clinical teams to resolve clearance issues (e.g., missing referrals, incorrect coverage). Maintain timely and accurate documentation in EMR and patient access systems. Monitor payer requirements to ensure compliance with organizational and regulatory guidelines. Escalate complex insurance or clearance issues as appropriate. Partner with financial counseling and billing teams to ensure a smooth patient experience. This job description is a summary of the primary duties and responsibilities of the position. It is not intended to be a comprehensive listing of all duties and responsibilities. Contents are subject to change at management's discretion Qualifications and Skills · High school diploma or equivalent required; Associate’s degree preferred. · 1 year experience in eligibility and benefits review or related healthcare administration required; experience in pain management, orthopedics, neurology, or radiology preferred · Understanding of commercial insurance plans (HMO, PPO, POS, EPO) including eligibility, benefits, and prior authorizations. · Knowledge of government payers including Medicare (Parts A–D, Medigap), Medicaid (state-specific programs, MCOs), and Workers’ Compensation. · Familiarity with CPT, ICD-10 codes, and medical terminology preferred. · Strong verbal and written communication skills. · Excellent attention to detail and organizational abilities. · Ability to manage high volumes in a fast-paced environment. · Proficiency with Microsoft Office Suite (Word, Excel, Outlook) and payer portals for eligibility and benefits verification. Working Conditions · Remote position. Assigned duties will be performed in areas free from background noise and from distraction. · Remote work area must protect the confidentiality of the work the employee is performing. · Regular use of office equipment. Physical Requirements · Extensive and regular periods of sitting, standing, bending, walking, seeing, talking, and listening. · A full range of body motion including complete manual and finger dexterity, as well as effective hand-eye coordination. · Adequate visual acuity including ability to read information. · An occasional requirement to reach with hands/arms, stoop, kneel, or crouch. · An occasional requirement to push, pull, lift and/or move up to 10 pounds

Responsibilities

The RCM Insurance Coordinator ensures all necessary financial and insurance clearances are obtained before scheduled medical services by verifying eligibility, obtaining referrals, and generating cost estimates. This role supports operational efficiency and a seamless patient experience by communicating with patients and payers to prevent care delays.