Insurance Representative - FT - Days (74872)

Hamilton Health Care System•Cleveland, TN

3d•Onsite

About The Position

The Insurance Representative is responsible for verifying all patient demographics and patient insurance benefits in order to inform patients of their estimated liabilities. Ensuring that the hospital is reimbursed for services. General Responsibilities: Gathers accurate patient demographic and insurance information on Inpatient/Outpatient registration. Distributes appropriate information to all departments Monitors diagnostic tests ordered by physicians for Medical necessity according to government guidelines. Verifies patient’s insurance coverage/benefits and documents information in the EPIC. Notifies Supervisor of Self-pay patients and UR Department of Insurance coverage issues. Ensures the pre-certifications and authorizations are obtained by physician offices when required. Notifies appropriate departments if not obtained. Perform other duties as assigned according to departmental standards.

Requirements

High school graduate or GED preferred.. One or two years of college preferred.
One-year experience in a hospital setting with public contact work preferred.
Knowledge of Medical Terminology preferred.

Responsibilities

Gathers accurate patient demographic and insurance information on Inpatient/Outpatient registration.
Distributes appropriate information to all departments
Monitors diagnostic tests ordered by physicians for Medical necessity according to government guidelines.
Verifies patient’s insurance coverage/benefits and documents information in the EPIC.
Notifies Supervisor of Self-pay patients and UR Department of Insurance coverage issues.
Ensures the pre-certifications and authorizations are obtained by physician offices when required.
Notifies appropriate departments if not obtained.
Perform other duties as assigned according to departmental standards.