Insurance Verification Coordinator-Kennestone

Tenet Healthcare Corporation•Marietta, GA

35d

About The Position

Summary of Responsibilities: Responsible for verifying health benefits and authorizations of third-party coverage for all applicable scheduled and unscheduled accounts and documenting this information in a computer system. Communicates with billing specialist or manager when financial counseling is needed prior to the service. Communicates with clinical staff or manager when prior authorization for service is needed. Duties and responsibilities may be added, deleted or changed at any time at the discretion of management, formally or informally, either verbally or in writing.

Requirements

Ability to demonstrate an understanding of a variety of insurance plans
Possesses strong customer service and interpersonal skills to interact effectively with patients, billing specialists and insurance company representatives
Ability to speak, understand and write fluent English
Ability to maintain patient confidentiality
Ability to summarize health benefits concisely and accurately
Ability to communicate in a calm, orderly, and non-threatening manner
Ability to work with interruptions and to manage multiple priorities
Ability to write legibly
Attends required meetings
good organizational and time management skills
Ability to multi-task
High school diploma/GED.
2 years of experience working in a medical office setting

Nice To Haves

Completion of medical office assistant program
Healthcare management/administration certification

Responsibilities

Assist the department in meeting company goals and expectations.
Assists as back-up Patient Services Representative team member
Assists in training and coordination of billing in-service meetings.
Verify insurance for all vision and medical plans
Must verify insurance for 3 clinic days in advance
Coordination with manager to assign alternate to cover when scheduled out of office.
Responsible to call insurance companies if unable to verify insurance, then call patient to get more information.
Maintenance of Patient Check-In/Out systems by removing cards yearly and all expired or inactive data.
Maintenance of Patient Information System by hiding all expired insurances and removing cards over a year old.
Ensuring Recalls in Patient Information System have been stopped on expired recalls.
Ensuring statuses in Patient Information System are marked active.
Hiding old alerts in Patient Information System