Medical Insurance Verification Rep

Medical Insurance Verification Rep


Panama City, FL

Full Time-Long Term

Starting at $11.50/hour

Posted Day Ago

Insurance Verification
Full Time – Temp to Hire
Monday – Friday 8:00 a.m. to 5:00 p.m.
Pay: $11.00+ DOE
Attire: Business Casual

 

The Ideal Candidate Will Have The Following Skill Set:

  • Stellar service and communication skills
  • Three (3) 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

 

Primary Duties:

  • 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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