Virtual Medical Insurance Coordinator

Vintti is a staffing agency that acts as an economic enabler. By connecting US-based SMBs, startups, and firms with top-tier Latin American talent, we drive growth on both sides of the equation. For US businesses, we offer access to a pool of highly skilled professionals at competitive rates, allowing for increased efficiency and scalability. For Latin American workers, we provide opportunities to engage with the US market, fostering professional development and economic advancement. Vintti stands at the intersection of global talent and American enterprise, facilitating partnerships that stimulate economic prosperity across borders.

A Virtual Medical Insurance Coordinator is responsible for managing and streamlining the medical insurance claims process within a healthcare organization from a remote setting. This role involves verifying patients' insurance coverage, processing claims, and addressing issues related to billing and reimbursement. By leveraging digital tools and communication technologies, the virtual coordinator ensures timely and accurate submission of claims, resolves discrepancies, and maintains up-to-date records. This position plays a critical role in enhancing patient satisfaction and ensuring that the medical practice operates efficiently and remains financially stable.

- High school diploma or equivalent required; associate's or bachelor's degree preferred.
- Minimum of 2 years of experience in medical insurance coordination or related field.
- Comprehensive understanding of insurance policies, procedures, and regulations.
- Proficiency in using electronic medical records (EMR) systems.
- Strong knowledge of HIPAA guidelines and handling confidential information.
- Excellent organizational and time management skills.
- Attention to detail and accuracy in data entry and documentation.
- Strong interpersonal and communication skills, both verbal and written.
- Problem-solving skills to handle insurance discrepancies and claim denials.
- Ability to work independently as well as in a team-oriented environment.
- Proficiency in Microsoft Office Suite (Word, Excel, Outlook).
- Familiarity with medical terminology and coding.
- Experience in obtaining pre-authorizations and pre-certifications.
- Comfortable using various web-based systems and insurance portals.
- Strong customer service skills to assist patients with insurance inquiries.
- Analytical skills to generate reports and analyze claim data.
- Capacity to stay updated with changes in insurance policies and regulations.
- Ability to train and mentor new staff.
- Flexibility to manage multiple tasks and adapt to changing priorities.
- Strong commitment to maintaining patient confidentiality and data security.

- Verify patient insurance coverage and benefits.
- Obtain necessary pre-authorizations and pre-certifications for procedures.
- Coordinate with healthcare providers to gather documentation for claims.
- Input and update insurance information in the electronic system.
- Review and manage insurance claims for accuracy and compliance.
- Resolve discrepancies and address claim denials.
- Communicate with insurance companies regarding pending claims.
- Assist patients in understanding their insurance coverage and benefits.
- Answer patient inquiries related to insurance matters.
- Prepare and send insurance claim forms and related documents.
- Maintain accurate records of patient interactions and transactions.
- Collaborate with billing departments for timely claim submissions.
- Provide updates to patients and providers on claim statuses.
- Handle confidential information in accordance with HIPAA regulations.
- Utilize EMR systems to manage workflow efficiently.
- Stay informed on changes in insurance policies and regulations.
- Participate in team meetings to discuss improvements and updates.
- Train new staff on insurance coordination processes and systems.
- Generate reports on claim activity and financial performance.
- Develop and implement strategies to improve claim approval rates.

The ideal candidate for the role of Virtual Medical Insurance Coordinator will possess a blend of experience, skills, and personal attributes that enable them to excel in this demanding yet rewarding position. With at least two years of experience in medical insurance coordination or a related field, they have a thorough understanding of insurance policies, procedures, and regulations, and they are proficient in using electronic medical records (EMR) systems. Their strong knowledge of HIPAA guidelines ensures they handle confidential information with the utmost care. Known for their excellent organizational and time management skills, they have a keen eye for detail and accuracy in data entry and documentation. This individual is an excellent communicator, both verbally and in writing, and has the interpersonal skills necessary to assist patients and collaborate effectively with healthcare providers and billing departments. They are skilled problem solvers, adept at resolving insurance discrepancies and claim denials, and are comfortable working independently while also being a proactive and reliable team player. Their proficiency with Microsoft Office Suite, familiarity with medical terminology and coding, and experience in obtaining pre-authorizations and pre-certifications make them well-equipped for the role. Adaptable and tech-savvy, they comfortably navigate various web-based systems and insurance portals. Their customer-centric approach, analytical mindset, and dedication to process improvement enable them to generate insightful reports and enhance claim approval rates. This candidate is known for their reliability, punctuality, and strong work ethic, and they thrive in managing multiple tasks and adapting to changing priorities. Their high integrity, commitment to patient confidentiality, and positive attitude set them apart, making them not only a valuable asset to the team but also a compassionate support to the patients they serve.

- Verify patient insurance coverage and benefits.
- Obtain pre-authorizations and pre-certifications for medical procedures.
- Coordinate with healthcare providers to gather necessary documentation for insurance claims.
- Input and update patient insurance information in the system.
- Review and manage insurance claims to ensure accuracy and compliance.
- Resolve insurance discrepancies and claim denials.
- Communicate with insurance companies to follow up on pending claims.
- Assist patients with understanding their insurance coverage and benefits.
- Answer patient inquiries regarding insurance-related matters.
- Prepare and send out insurance claim forms and documents.
- Maintain accurate records of patient interactions and insurance transactions.
- Collaborate with billing departments to ensure timely claim submissions.
- Provide regular updates to patients and healthcare providers on claim statuses.
- Handle confidential patient information in accordance with HIPAA regulations.
- Utilize electronic medical records (EMR) systems for efficient workflow management.
- Stay informed on changes in insurance policies and regulations.
- Participate in team meetings to discuss process improvements and updates.
- Train new staff on insurance coordination processes and systems.
- Generate reports on insurance claim activity and financial performance.
- Develop and implement strategies to improve claim approval rates.

- Detail-oriented
- Excellent communicator
- Strong organizational skills
- Proactive problem solver
- Team-oriented
- Independent worker
- Adaptable
- Tech-savvy
- Customer-centric
- Analytical thinker
- Reliable and punctual
- Patient and empathetic
- Quick learner
- Time management skills
- High integrity
- Confidentiality-focused
- Process improvement mindset
- Strong work ethic
- Ability to handle stress
- Positive attitude

- Competitive salary range: $45,000 - $60,000 annually
- Health insurance (medical, dental, vision)
- 401(k) retirement plan with company match
- Paid time off (PTO) and holiday pay
- Remote work flexibility
- Career development and training opportunities
- Employee wellness programs
- Health and wellness resources
- Professional development and certification reimbursement
- Employee assistance program (EAP)
- Performance bonuses and incentives
- Flexible work hours
- Internet and home office stipend
- Parental leave policy
- Employee discount programs
- Opportunities for advancement and promotion
- Inclusive and supportive work environment