Insurance Verification Representative - ONSITE

Community Health Systems Professional Services Corporation•Knoxville, TN

2d•Onsite

About The Position

The Insurance Verification Representative verifies insurance coverage and benefits for scheduled procedures and services, ensures accuracy in patient records, and assists with obtaining prior authorizations when needed to facilitate timely reimbursement. The representative works closely with clinical and administrative teams to provide a seamless patient experience. This is a 100% onsite position at Turkey Creek Medical Center and is not remote.

Requirements

0–2 years of experience in insurance verification, billing, or a related role in a healthcare setting required.
Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
Strong attention to detail and accuracy in data entry and documentation.
Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
Ability to manage time effectively and work in a fast-paced environment.
Proficient in basic computer skills and comfortable navigating healthcare billing or insurance software.

Responsibilities

Verify patient insurance information, including eligibility, benefits, and coverage limitations.
Review scheduled services and procedures to determine whether pre-certifications or authorizations are required.
Coordinate with insurance providers to obtain required authorizations and verify prior approvals.
Communicate insurance requirements and benefit information to patients and answer coverage-related questions.
Enter and update insurance information accurately in patient medical records and billing systems.
Identify and resolve insurance-related discrepancies or issues in coordination with other departments.
Assist with denied authorizations and facilitate appeals as required.
Perform other duties as assigned.
Maintain regular and reliable attendance.
Comply with all policies and standards.