Insurance Follow Up-Verifier
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. 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.
Responsibilities
- responsible for all inpatient/outpatient areas
- verify insurance eligibility
- obtain benefits
- obtain required authorizations
- contact patients with financial liability
- maintain appropriate/consistent documentation on accounts worked
- updating patient health information to ensure insurance accuracy
- making calls to the insurance company regarding authorization status
- reviews orders prior to testing to ensure it meets medical necessity guidelines
- files and follows up on appeals to the insurance company
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
Number of Employees
5,001-10,000 employees
