Insurance Verification Representative

1 day ago

Greensboro, United States SCA Health Full time

Overview:

Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality outcomes and a better experience for patients and providers, all at a lower total cost of care.

As part of Optum, we participate in an integrated care delivery system that enables us to support our partners as they navigate a complex healthcare environment, Only SCA Health has a dynamic group of physician-driven, specialty care businesses that allows us to customize solutions, no matter the need or challenge:

  • We connect patients to physicians in new and differentiated ways as part of Optum and with our new Specialty Management Solutions business.
  • We have pioneered a physician-led, multi-site model of practice solutions that restores physician agency by aligning incentives to support growth and transition to value-based care.
  • We lead the industry in value-based payment solutions through our Global 1 bundled payment convener, that provides easy predictable billing to patients.
  • We help physicians address everything beyond surgical procedures, including anesthesia and ancillary service lines.

The new SCA Health represents who we are today and where we are goingand the growing career opportunities for YOU.

Accountabilities / Responsibilities:

Insurance Verification:

  • Verify that sufficient information is available for accurate verification and eligibility. This step may require direct contact with the physician office and/or the patient.
  • Determine if a secondary insurance should be added to the patient account ensuring the appropriate payer is selected for Primary insurance.
  • Utilize the centers selected vendor for claims and eligibility and/or individual payer websites to obtain eligibility, benefits and/or pre-certs and authorization information.
  • Enter the patient insurance information into patient accounting system ensuring the selection is the appropriate payer and associated financial class.
  • When the patients insurance is Out of Network notify the manager immediately. Follow the Policies and Procedures when accepting Out of Network payers.
  • SCAs goal for each patients insurance verification is complete and accurate. The insurance verifier will document the findings in the patient account and will contact the patient with either estimated co-insurance, co-pay and or deductible amounts due on or before the date of service as applicable
  • The Insurance Verifier will call each patient as part of center compliance with CMS Conditions for Coverage guidelines in contacting patients prior to the date of service to review, Physician Ownership, Advance Directives and Patient Rights.

Authorization:

  • Obtain authorizations from insurance companies/physician offices. Ensure complete and accurate information is entered into the patient accounting system and the procedure scheduled, date of service and facility name are on the authorization. Ensure the authorization has not expired.
  • Enter authorization into patient accounting system. Include the name/CPT codes effective date of the authorized procedures.
  • Ensure high cost implant/supply or equipment rental is included on authorization.
  • Check insurance company approved procedure lists/medical policies. If procedure is not payable, notify patient. If patient wants to proceed, obtain signature on Medicare ABN or other non-covered notification form.

Financial Orientation:

  • Calculate co-pay, and estimated co-insurance due from patients per the individual payer contract per the individual payer contract and plan as applicable.
  • Acceptance of in-network benefits for out-of-network payers must be pre-approved by SCA Compliance Dept.
  • Be familiar with individual payer guidelines and the process of collecting over the counter payments/deductibles/copay/co-insurance. Knowledge of payer contracts including Medicare, Medicaid and other government contracts and guidelines and workmens compensation fee schedule.
  • Contact the patient and communicate the center financial policy
Qualifications:
  • Bachelors degree preferred but not required
  • Experience checking authorizations
  • Must be experienced with cpt codes
  • Detailed and able to work in a high production environment
  • Healthcare experience a must
  • Local or within driving distance
Min:
USD $16.54/Hr.

Max:
USD $21.00/Hr.

  • Insurance Verification Specialist

    1 week ago

    Greensboro, North Carolina, United States SCA Health Full time

    Job Summary:As an Insurance Verification Representative at SCA Health, you will play a vital role in ensuring that patients receive accurate and timely insurance verification and authorization. This position requires strong communication and organizational skills, as well as the ability to work in a fast-paced environment.Responsibilities:* Verify patient...

  • Insurance Verification Representative

    6 days ago

    Greensboro, United States SCA Health Full time

    Job DescriptionJob DescriptionInsurance Verification Representative - Surgical Center of GreensboroJOB_DESCRIPTION.SHARE.HTMLCAROUSEL_PARAGRAPHJOB_DESCRIPTION.SHARE.HTMLGreensboro, North CarolinaSurgical Center of GreensboroNetwork ManagementRegularFull-time1USD $16.54/Hr.USD $21.00/Hr.36208 Job Description OverviewToday, SCA Health has grown to 11,000...

  • Insurance Verification Representative

    2 days ago

    Greensboro, United States SCA Health Full time

    Overview: Today, SCA Health has grown to 11,000 teammates who care for 1 million patients each year and support physician specialists holistically in many aspects of patient care. Together, our teammates create value in specialty care by aligning physicians, health plans and health systems around a common goal: delivering on the quadruple aim of high-quality...

  • Insurance Customer Service Representative

    2 weeks ago

    Greensboro, United States State Farm Insurance Full time

    Job Title: Office RepresentativeState Farm Insurance is seeking a highly motivated and customer-focused individual to join our team as an Office Representative. In this role, you will be responsible for providing exceptional customer service, processing insurance policy changes and updates, and handling incoming and outgoing phone calls.Key...

  • Insurance Customer Service Representative

    2 weeks ago

    Greensboro, United States Brown & Brown Insurance Full time

    Job SummaryWe are seeking a highly skilled Property Casualty Customer Service Representative to join our team at Brown & Brown Insurance. As a key member of our customer service team, you will be responsible for providing exceptional customer service to our clients, responding to their inquiries, and resolving their issues in a timely and professional...

  • Insurance Sales Representative

    1 week ago

    Greensboro, North Carolina, United States Correll Insurance Group Full time

    Job OverviewCorrell Insurance Group is seeking a highly motivated and ambitious Insurance Producer to join our team in Knoxville, TN. As an Insurance Producer, you will be responsible for expanding our sales presence and driving business growth through outstanding customer experience and insurance sales-driven conversations.Key ResponsibilitiesProspect and...

  • Insurance Sales Representative

    2 weeks ago

    Greensboro, North Carolina, United States Correll Insurance Group Full time

    Job Summary:The Insurance Producer is responsible for expanding our sales team through outstanding customer experience and insurance sales-driven conversation. This role requires a strong work ethic, leadership skills, and a successful sales background. The ideal candidate will be a self-starter with a sense of urgency, able to create relationships from a...

  • Insurance Sales Representative

    2 weeks ago

    Greensboro, NC , USA, United States Independent Insurance Agents of North Carolina Full time

    Job Title: Insurance ProducerWe are seeking a highly motivated and ambitious Insurance Producer to join our team at SouthPoint Risk, a member of Correll Insurance Group. As an Insurance Producer, you will be responsible for expanding our sales presence and building relationships with clients to provide outstanding customer experience and insurance...

  • Insurance Customer Service Representative

    1 week ago

    Greensboro, North Carolina, United States The Beacon Insurance Group Full time

    Job DescriptionAbout The Beacon Insurance Group:We strive to provide our customers with the best coverage for the best price possible. Our team is dedicated to maintaining solid customer relationships by handling personal and commercial lines insurance coverage inquiries and concerns with speed and professionalism.Responsibilities:Client calls to review...

  • Insurance Representative

    2 weeks ago

    Greensboro, North Carolina, United States Bankers Life Full time

    Bankers Life is seeking ambitious individuals to grow our team of Insurance Agents and Financial Representatives. If you have a passion for helping others achieve their financial goals, are a natural networker, and enjoy critical thinking, then consider this opportunity. Our award-winning training equips you with the knowledge, skills, and financial...

  • Health Insurance Representative

    1 month ago

    Greensboro, United States MCI Careers Full time

    Job Title: Licensed Health Insurance RepresentativeJob Summary:MCI Careers is seeking a highly motivated and dedicated Licensed Health Insurance Representative to join our team. As a key member of our customer service team, you will play a vital role in educating and guiding customers to select the insurance policies that best meet their needs.Key...

  • Insurance Customer Service Representative

    2 weeks ago

    Greensboro, North Carolina, United States The Beacon Insurance Group Inc Full time

    About UsThe Beacon Insurance Group Inc is a family-oriented agency that values teamwork and camaraderie. We strive to provide exceptional service to our customers while maintaining a fun and supportive work environment.Job DescriptionWe are seeking a highly skilled and customer-focused Personal and Commercial Lines CSR to join our team. As a CSR, you will be...

  • Insurance Sales Representative

    2 weeks ago

    Greensboro, NC , USA, United States Correll Insurance Group Full time

    Job Summary:The Insurance Producer is a key role in our team, responsible for expanding our sales presence and driving business growth through outstanding customer experience and insurance sales-driven conversations.Key Responsibilities:Prospect and generate new business through leads and referral sources.Document sales and prospecting information.Thoroughly...

  • Insurance Sales Representative

    2 weeks ago

    Greensboro, North Carolina, United States The Elmer Agency Full time

    Unlock Your Potential in the Insurance IndustryAre you a motivated and results-driven individual looking to excel in the insurance industry? We are seeking a talented Insurance Sales Representative to join our team at The Elmer Agency.About the Role:As a key member of our team, you will be responsible for connecting with clients, understanding their...

  • Insurance Account Representative

    4 weeks ago

    Greensboro, North Carolina, United States Eric Everly - State Farm Agent Full time

    Position OverviewAs a key member of the Eric Everly - State Farm Agent team, you will play a vital role in building and maintaining strong relationships with customers in the community to promote State Farm products, including auto, home, and life insurance.Key ResponsibilitiesUtilize a customer-centric approach to educate customers about insurance options...

  • Insurance Sales Representative

    2 weeks ago

    Greensboro, North Carolina, United States The Sullivan Agency Full time

    Job DescriptionWe are seeking a highly motivated and results-driven Insurance Sales Representative to join our team at The Sullivan Agency. As a Sales and Insurance Professional, you will have the opportunity to work with a variety of insurance products, including life, whole life, mortgage protection, annuities, and index universal life.Key...

  • Life Insurance Sales Representative

    2 weeks ago

    Greensboro, North Carolina, United States Karlo Financial Full time

    Job OverviewKarlo Financial is seeking a skilled Remote Life Insurance Sales Representative to join our team. As a sales representative, you will be responsible for connecting with potential clients, understanding their unique needs, and guiding them through the process of choosing the right life insurance coverage.Key Responsibilities:Connect with potential...

  • Insurance Sales Representative

    2 weeks ago

    Greensboro, United States Keith Robinson Allstate Agency Full time

    Step into a rewarding career with the Keith Robinson Allstate Agency, a vibrant team at the heart of Greensboro, North Carolina. As an Insurance Sales Representative, you will have the opportunity to connect with our community, providing tailored insurance solutions and exceptional service. This on-site role invites energetic individuals who are motivated by...

  • Customer Service Representative

    1 week ago

    Greensboro, North Carolina, United States Kimberly Bell - State Farm Agent Full time

    Job Title: Customer Service Representative - Insurance ExpertJob Description: We are seeking a highly skilled Customer Service Representative to join our team at Kimberly Bell State Farm. As a customer service representative, you will be responsible for providing exceptional client experiences, resolving customer inquiries, and coordinating with other agency...

  • Insurance Customer Service Representative

    2 weeks ago

    Greensboro, NC , USA, United States State Farm Insurance Full time

    State Farm Insurance Account Associate Job DescriptionAs an Account Associate at State Farm Insurance, you will play a vital role in providing exceptional customer service and support to our policyholders. Your primary responsibilities will include:Key Responsibilities:Assist customers with their insurance needs by providing accurate and timely information...