Insurance Verification Rep - Clinic

CommonSpirit HealthThe Woodlands, TX
Onsite

About The Position

As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience. Every day you will expertly contact insurance payers, confirm coverage details, identify patient responsibilities, and meticulously document all findings to facilitate accurate billing and address potential financial barriers to care. To be successful, you will demonstrate outstanding attention to detail, strong communication skills, and a persistent, customer-focused demeanor, contributing significantly to revenue integrity and informed patient access.

Requirements

  • Bachelors Other in related field or 2 – 4 years healthcare experience, upon hire
  • None, upon hire

Responsibilities

  • Ensure insurance coverage by telephone.
  • Resolve any issues with coverage and escalates complicated issues to manager.
  • Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
  • Coordinate with clinical staff to obtain charge information for all patients.
  • Code procedures performed and diagnosis on charge.
  • Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.
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