Insurance Verification Rep I

Sarasota Memorial Health Care System • Sarasota, FL

1d

About The Position

Responsible for obtaining accurate health insurance benefits verification of eligibility status and assist with authorizations using electronic verification systems or by contacting payers directly to determine level of insurance coverage. Ensures the pre-registration process is complete for all assigned accounts at least 7 days prior to the scheduled date of service whenever possible. Identifies copayments, coinsurance, and policy limitations, and advises patient and collects amount before the time of service. Follows up on missing authorizations. If authorization is not obtained within 48-hours prior to service, contacts patient to advise them of their options for rescheduling/follow-up with physician’s office or proceeding without authorization.

Requirements

• Minimum of one (1) to two (2) years of medical insurance verification / authorizations experience.
• General knowledge of medical terminology.
• HS EQ: High School Diploma, GED or Certificate

Nice To Haves

• Typing skills minimum thirty (30) words per minute.
• Working knowledge of ICD-9/ ICD-10 and CPT coding.
• Demonstrated excellent customer service skills and phone etiquette skills.
• Basic working knowledge of commonly used computer applications.
• General knowledge of medical terminology.
• The ability to communicate clearly and effectively; excellent written skills and spelling/grammar.
• Experience in patient interviewing.
• Prior demonstrated customer-centered service experience and ability to be flexible with changing priorities, demands and requests.
• Demonstrated flexibility and adaptability.
• Strong organizational skills.
• AD: Associate's Degree
• CHAA: Certified Health Access Assoc

Responsibilities

• Obtaining accurate health insurance benefits verification of eligibility status
• Assist with authorizations using electronic verification systems or by contacting payers directly to determine level of insurance coverage
• Ensures the pre-registration process is complete for all assigned accounts at least 7 days prior to the scheduled date of service whenever possible
• Identifies copayments, coinsurance, and policy limitations, and advises patient and collects amount before the time of service
• Follows up on missing authorizations
• Contacts patient to advise them of their options for rescheduling/follow-up with physician’s office or proceeding without authorization if authorization is not obtained within 48-hours prior to service

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees