Insurance Follow Up-Verifier

Baptist Health Care • Pensacola, FL

8d • Onsite

About The Position

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA.

Requirements

• Verify insurance eligibility
• Obtain benefits
• Obtain required authorizations
• Contact patients with financial liability
• Maintain appropriate/consistent documentation on accounts worked
• Update patient health information
• Make calls to insurance companies regarding authorization status
• Review orders prior to testing to ensure medical necessity guidelines are met
• File and follow up on appeals to the insurance company

Responsibilities

• 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.
• 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.
• Reviewing orders prior to testing to ensure it meets medical necessity guidelines.
• Filing and following up on appeals to the insurance company.

What This Job Offers

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