Insurance Representative - Pre-Arrival
About The Position
This role is responsible for verifying insurance coverage and ensuring all required authorizations are in place for scheduled procedures. This position plays a key part in supporting financial accuracy and patient communication before services are rendered. Confirms insurance coverage and procedure details, determines if pre-authorization is required, and obtains all necessary approvals in advance of the scheduled service. Accurately enters patient insurance, authorization, and order/RX details into the patient record, ensuring complete documentation for all services. Notifies patients and payers of financial responsibility, communicating any non-covered or non-authorized services to both patients and practitioners. Collaborates with patients, clinical staff, and payer representatives to resolve questions regarding coverage limitations and financial clearance. Applies strong knowledge of payer policies, coverage criteria, and authorization processes to maintain efficient and compliant workflows.
Responsibilities
- Verifying insurance coverage and ensuring all required authorizations are in place for scheduled procedures.
- Confirming insurance coverage and procedure details.
- Determining if pre-authorization is required, and obtains all necessary approvals in advance of the scheduled service.
- Accurately entering patient insurance, authorization, and order/RX details into the patient record, ensuring complete documentation for all services.
- Notifying patients and payers of financial responsibility, communicating any non-covered or non-authorized services to both patients and practitioners.
- Collaborating with patients, clinical staff, and payer representatives to resolve questions regarding coverage limitations and financial clearance.
- Applying strong knowledge of payer policies, coverage criteria, and authorization processes to maintain efficient and compliant workflows.
Benefits
- Quality health, dental, and vision benefits
- Wellness programs and resources
- Industry-leading leave for new parents
- Generous earned time plan
- Employee Assistance Program
- Payactiv
- Tuition Reimbursement
- 403(b) company-matching contributions
- 401(a) retirement income plan
- Short-term and long-term disability insurance
- Leadership-supported programs
- Learning and development resources
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
No Education Listed
