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Insurance Verification Representative
1 month ago
Summary We are looking for an Insurance Verification Representative to join our team at Williamson Health in Franklin, Tennessee. Our facility is committed to delivering world-class, compassionate care to the residents of Williamson County and surrounding communities. As an Insurance Verification Representative, you will be responsible for verifying insurance benefits and performing pre-certification on various patient procedures to ensure maximum reimbursement in a timely manner. Additionally, you will work closely with other departments and referring physician offices while maintaining professional communications. Job Requirements: High School diploma or equivalent At least three years clerical experience in a professional, customer service-oriented office environment At least one year of insurance verification/pre-certification experience Proficiency in using various office equipment and software Performance Standards: Stay up to date with payer requirements and billing regulations Provide good customer service when contacting patients or physician offices regarding insurance information Review faxcert or AllScripts to obtain necessary information Obtain and verify prior authorizations and follow up on after-hour and weekend procedures Communicate and assist other insurance verifiers with daily work Participate in departmental meetings and recommend improvement opportunities Report concerns to supervisor and bring possible solutions
