Insurance Verification and Authorization Representative

About the position

The Insurance Verification and Authorization Representative performs verification of benefits and obtains authorizations in accordance with all state, federal and third party payor contractual requirements. It's inspiring to work with a company where people truly BELIEVE in what they're doing! When you become part of the Chapters Health Team, you'll realize it's more than a job. It's a mission. We're committed to providing outstanding patient care and a high level of customer service in our communities every day. Our employees make all the difference in our success!

Responsibilities

• Performs insurance benefit verification for all payors.
• Obtains authorization as required by plan benefit.
• Processes incoming correspondence from payors.
• Resolves any issues with coverage and escalates complicated issues to the Supervisor.
• Ensures timely, complete and accurate processing of benefit information.
• Prepares monthly nursing home room and board invoices.
• Collaborates with Medicaid Eligibility Vendor to obtain Medicaid eligibility.
• Obtains patient responsibility payment as needed.
• Performs other duties as assigned.

Requirements

• High School Diploma or GED.
• Minimum of one (1) year of medical billing and collection or office experience.
• Knowledge of third party billing and state and federal collection regulations preferred.
• Ability to prioritize and multi-task independently with little guidance.
• Must be self-motivated and service oriented.
• Excellent written and verbal communication skills.
• Accurate typing and data entry skills.