Insurance Follow Up-Verifier- Cardiology

Baptist Health Care • Pensacola, FL

9h • Onsite

About The Position

The Insurance Follow Up/Verifier is responsible for all inpatient/outpatient areas, including but not limited to: scheduled surgeries, the inpatient census reports, on-line systems provided by multiple payers to verify insurance eligibility, obtain benefits, obtain required authorizations, contact patients with financial liability, and maintain appropriate/consistent documentation on accounts worked. The insurance follow up/verifier is consistently updating patient health information to ensure insurance accuracy. Ensuring accurate and timely follow up by making calls to the insurance company regarding authorization status. The insurance follow up/verifier reviews orders prior to testing to ensure it meets medical necessity guidelines. The insurance follow up/verifier files and follows up on appeals to the insurance company.

Requirements

• Experience in insurance follow-up and verification.
• Familiarity with inpatient/outpatient areas.
• Proficiency with on-line systems provided by multiple payers.
• Ability to verify insurance eligibility, obtain benefits, and secure authorizations.
• Skill in contacting patients regarding financial liability.
• Strong documentation skills.
• Ability to update patient health information accurately.
• Experience in following up with insurance companies on authorization status.
• Ability to review orders for medical necessity.
• Experience in filing and following up on insurance appeals.

Responsibilities

• Verify insurance eligibility using on-line systems provided by multiple payers.
• Obtain insurance benefits and required authorizations.
• Contact patients regarding their financial liability.
• Maintain appropriate and consistent documentation on accounts worked.
• Update patient health information to ensure insurance accuracy.
• Follow up with insurance companies regarding authorization status.
• Review orders prior to testing to ensure they meet medical necessity guidelines.
• File and follow up on appeals to insurance companies.

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: No Education Listed