Insurance Verification Representative I

2 weeks ago


Sarasota, United States Insight Global Healthcare Full time
Job DescriptionJob Description

Must Haves:

  • High School Diploma/GED
  • Minimum 1-year exp of insurance authorizations in a large health system (50+ authorizations/day)
  • Strong understanding of medical terminology
  • Strong understanding and working with large insurances (Cigna, Aetna, BCBS)

 

Plusses:

  • Knowledge of ICD-9/ ICD-10 and CPT coding.
  • CHAA: Certified Health Access Association

 

Day to Day:

Insight Global is looking for a candidate to fill an Insurance Verification role in a large heath system that will be verifying insurance for patients that have been directly admitted to the hospital or the ER. This candidate needs strong experience authorizing insurance, working with large insurance companies, and be able to handle insurance-related inquiries. Furthermore, this candidate will identify copayments, coinsurance, and policy limitations, and advises patient and collects amount before the time of service. This candidate needs to comfortable in a high volume, high demand environment where they will be verifying approximately 50-70 patient's insurance per day. This role will be in an business office setting and will not be patient facing. 

 

This candidate will:

  • Authorize insurance
  • Identifies copayments
  • Identifies coinsurance
  • Identify policy limitations
  • Advises patient and collects amount before the time of service.
  • Ensures the pre-registration process is complete for all assigned accounts at least 7 days prior to the scheduled date of service whenever possible.
  • Follows up on missing authorizations.
  • If authorization is not obtained within 48-hours prior to service, contacts patient to advise them of their options for


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