Hiring Now Insurance Verification Rep I

Sarasota Memorial Health Care System•Sarasota, FL
•Onsite

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

  • A minimum of one (1) to two (2) years of medical insurance verification / authorizations experience.
  • A general knowledge of medical terminology.

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.

Responsibilities

  • Obtaining accurate health insurance benefits verification of eligibility status
  • Assisting with authorizations using electronic verification systems or by contacting payers directly to determine level of insurance coverage
  • Ensuring the pre-registration process is complete for all assigned accounts at least 7 days prior to the scheduled date of service whenever possible
  • Identifying copayments, coinsurance, and policy limitations
  • Advising patient and collecting amount before the time of service
  • Following up on missing authorizations
  • Contacting 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

Benefits

  • Total Rewards Package
  • Paid Time Off (start earning PTO on day one of employment)
  • Tuition Reimbursement
  • Discounted Medical, Prescription, Dental, Vision Benefit Plans for Full & Part-Time Employees
  • Flexible Spending Accounts (Health Care and Dependent Care) - Pre-Tax Dollars
  • Life Insurance
  • Disability Insurance
  • Retirement Savings Plan: 403b
  • Sarasota Campus for now - Discounted Child Care & Before and After School Program and Summer Camp!
  • Bereavement Leave
  • Free Parking
  • On Campus Dining w/ a 10% discount
  • Credit Union w/ teller machines on campus
  • Direct Deposit
  • Free Wellness Screening
  • Free confidential counseling services
  • Employee Discount Programs
  • Recognition Programs
  • Referral Programs
  • Tremendous growth opportunities for hard workers!
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