Insurance Verification Specialist

4 weeks ago


Bridgeton, Missouri, United States Inspira Health Network Full time

Job Summary

The Pre-Service Pre-Cert Representative plays a crucial role in ensuring seamless patient access to care by verifying insurance requirements and obtaining necessary authorizations.

Key Responsibilities

  • Validate patient insurance coverage through HDX and insurance portals
  • Obtain authorizations via Recondo tool and/or hospital authorizations on behalf of physician practices
  • Work closely with patients, physicians, and hospital staff to resolve insurance-related issues
  • Stay up-to-date with changing insurance plans, products, and authorization processes

Requirements

  • High School Diploma or equivalent required
  • Some college and/or CHAA certification preferred
  • Minimum one-year experience in hospital registration or physician's office verifying medical insurance coverage

Preferred Qualifications

  • Working knowledge of insurance plans, products, and authorization processes
  • Familiarity with 3rd party vendor processes used for authorization submission
  • Ability to work independently and as part of a team
  • Excellent communication and customer service skills

Working Conditions

  • Fast-paced environment with a diverse patient population
  • Ability to work in a team-oriented setting


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