Insurance Verification Specialist
3 weeks ago
We are seeking a highly skilled Insurance Verification Representative to join our team at CommonSpirit Health Mountain Region. As an Insurance Verification Representative, you will play a critical role in ensuring that patients receive the necessary insurance coverage and authorization for their medical treatments.
Key Responsibilities- Initiate and document insurance notifications, authorizations, and/or reference numbers for all patients within all facilities via report, web, and/or telephonic.
- Obtain and document within the Information System the insurance coverage and benefit information for all patients in a timely manner via report, web and/or telephonic.
- Work daily reports to ensure that payor-specific requirements are met.
- Collaborate with Business Office, provider office, and Case Management personnel to assist with the follow-up on appeals, denials, answer inquiries, and update accounts as necessary.
- Communicate with CommonSpirit facilities, CBO, Case Management, Payor Relations, and Insurance Companies in a timely manner on issues that arise.
- Serve as a subject matter expert for other Revenue Cycle Associates with relation to insurance identification, benefit, and authorization requirements.
- High School Diploma or GED required.
- Preferred 1-3 years of Healthcare experience.
- Knowledge of ICD-10 and CPT coding.
- Familiarity with medical terminology.
- Preferred knowledge of medical registration processes and understanding of the healthcare revenue cycle.
- Preferred experience working with Microsoft Office applications.
- Preferred experience working in a healthcare clinical information system.
We believe investing in our employees lets them know they truly matter. Your Total Rewards package includes compensation, benefits, retirement, wellness, leave, and other programs.
Designed with your well-being in mind, we offer:
- Several Medical, Dental, & Vision options.
- Spending Accounts including a Dependent Care FSA that can include an employer contribution.
- Retirement account options with a generous employer match.
- Tuition Reimbursement.
- Student Loan Forgiveness, and so much more.
$28.60/hour
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