Pre Authorization & Insurance Verification

Pre Authorization & Insurance Verification


Panama City, FL

Full Time - Long Term

Starting at $12.00/hour

Posted Day Ago

Insurance Verification & Pre-Authorization Representative
Full Time – Temp to Hire
Schedule: Monday – Friday 8:00 a.m. – 5:00 p.m.
Pay: $12.00 per hour (DOE)
Attire: Business Casual

 

The Ideal Candidate Will Have The Following Skill Set
• Stellar service and communication skills
• Three years of experience preferred
• Commitment as a team member to providing excellent patient care
• Initiative, responsibility, and follow-through
• Able to work independently as well as a team member within a multi-disciplinary setting
• Ability to cross-train in helping in all departments
• Be able and willing to communicate to patients and companies over the phone concerning co-pay and financial issues
• Experience in medical insurance authorizations is preferred
• Register cases in computerized patient tracking system with correct demographics
• Ensure demographic information in patient information system is updated and accurate

 

Verifies insurance information
• Verifies insurance information including policy and group numbers
• Ensures insurance information in patient information system is updated and accurate
• Ensures appropriate personnel are notified when an insurance change is received

 

Works with patient and alternate funding sources to secure financial assistance
• May work directly with patient/guarantor and supervisor to work out satisfactory payment plans
• Will work with copayment foundations and assistance programs to help secure funding for those patients in need of financial assistance
• Obtain necessary patient or guarantor signatures
• Navigate the electronic medical record in an effort to gather information needed to obtain prior authorizations

 

Ensure all unusual cases are reported appropriately to supervisor
• Document and report discrepancies and exceptions
• Maintain confidential logs of exceptions and general problems pertaining to patient finance for future reference
• Escalate to manager any high-risk patient cases
• Perform extensive investigative and follow-up work relating to reimbursement issues

 

Provide other administrative support to the Department
• Answer telephone inquiries from patients and forward to appropriate staff when needed
• File folders in correct locations
• Any related office duties

 

Education Required
High School Diploma or GED

 


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