Insurance Verification Representative
Job Description:
- Accounts are completed in a timely manner in support of patient satisfaction
- Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services
- Add and/or edit insurance information in UChart
- Completes the checklist and document co-pay
- Creates referral if applicable, “Benefit only” or “Preauthorization”, and documents benefits information
- Meets productivity standards for assigned work queue
- Assists in educating and acts as a resource to patients
- Contact Primary Care Physician offices and/or Health Plans
- Submits all necessary documentation required to process authorization request
- Obtains authorization for both facility and provider
- Enters and attaches authorization information in referral section of UChart
- Approves referral and financially clear visits
- Communicates with patients and/or departments regarding authorization denial
- Contact the Departments and/or patient when additional information is required
- Participates in process improvement initiatives
- Provides customer service and assists patients and other UHealth staff
Requirements:
- High School Diploma or equivalent
- Minimum 1 year of relevant work experience
- Computer literate (EPIC scheduling and registration application experience a plus)
- Strong written and oral communication skills
- Able to work in a team environment
- Graceful under pressure and stressful situations
- (3) years of direct experience in Insurance Verification and Registration for Sr. Insurance Verification Representative
- Demonstrated knowledge of insurances, including authorization/referrals guidelines and requirements
- Demonstrated ability to communicate effectively in written and verbal form
- Bi-lingual knowledge a plus
- Ability to interact and assist patients of all ages, cultural background and with special needs
Benefits:
- medical
- dental
- tuition remission
- competitive salaries
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