Inside Wholesaler responsible for cultivating and maintaining relationships with RBC Insurance Brokers. Collaborating with Sales Consultants to achieve sales plans and develop producer acquisition strategies.
About the role
- Insurance Verification Coordinator II assisting in routine insurance verifications supporting cancer detection studies. Communicating with study partners and ensuring compliance through attention to detail.
Responsibilities
- Perform routine benefit verification activities for study participants, following standard operating procedures.
- Use established systems to conduct individual and bulk eligibility checks and document results accurately.
- Provide real-time phone assistance to study site partners during business hours to resolve insurance or cost-share questions.
- Escalate complex inquiries appropriately.
- Maintain and update patient demographic and insurance information in relevant systems with precision, ensuring data integrity and adherence to company and regulatory requirements.
- Coordinate with team members and cross-functional partners to complete work assignments and maintain service quality standards.
- Identify opportunities to improve process efficiency or accuracy and communicate suggestions to the supervisor.
- Perform other assigned duties related to benefit verification and claims support as needed.
Requirements
- High School Diploma or Associate Degree required.
- 1–2 years of related experience in insurance verification, healthcare billing, or a similar administrative role.
- Familiarity with insurance carriers such as Blue Cross Blue Shield, United Healthcare, Cigna, Medicare, and Medicaid.
- Working knowledge of insurance plan types (Medicare, Medicare Advantage, Medicaid, PPO, HMO, etc.).
- Demonstrated accuracy, organization, and attention to detail when following established workflows.
- Excellent verbal and written communication skills, with the ability to provide courteous, professional service to external partners and internal teams.
- Ability to work effectively under general supervision and within defined guidelines while meeting deadlines.
- Basic proficiency in data entry, Microsoft Office Suite, and CRM or eligibility verification systems.
- Monday – Friday, 8:00 AM to 5:00 PM (Eastern Standard Time)
Benefits
- Based on the role, colleagues may be eligible to participate in an annual bonus plan tied to company and individual performance, or an incentive plan.
- We also offer a long-term incentive plan to align company and colleague success over time.
- GRAIL offers a progressive benefit package, including flexible time-off, a 401k with a company match, and alongside our medical, dental, vision plans, carefully selected mindfulness offerings.
- GRAIL maintains a drug-free workplace.
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