Insurance Verification Representative - Tennova Multispecialty Newport

Community Health Systems Professional Services Corporation•Newport, TN

12h

About The Position

The Insurance Verification Representative accurately verifies patient insurance coverage, benefits, and eligibility to support proper reimbursement and prevent service delays. The role coordinates with physician offices, case management teams, and financial counseling to facilitate pre-certifications, authorizations, and patient financial obligations. It helps maintain accurate patient account liability, minimize denials, and improve revenue cycle efficiency. The position includes verifying coverage and authorization requirements before services, documenting insurance and patient-account details, communicating financial responsibilities, supporting financial counseling referrals, and ensuring records and pre-registration documents are entered and routed appropriately. The representative collaborates across patient access, case management, and billing functions and follows applicable facility, regulatory, and organizational policies. The posting states there are no weekends, holidays, or on-call work.

Requirements

0–2 years of experience in insurance verification, medical billing, or patient access in a healthcare setting required.
Strong knowledge of insurance verification, pre-authorizations, and patient financial services.
Proficiency in healthcare insurance terminology, including co-pays, deductibles, out-of-pocket costs, and covered services.
Ability to interpret and apply insurance policies and payer guidelines to verify eligibility and benefits accurately.
Effective communication and customer service skills for professional interactions with patients, physician offices, and insurance providers.
Strong organizational and time-management skills, including the ability to handle multiple verification requests efficiently.
Proficiency in electronic health record (EHR) systems, payer websites, and insurance portals for eligibility verification.
Understanding of HIPAA regulations and patient privacy requirements when handling sensitive financial and insurance information.
Applicants must be authorized to work in the U.S. for an employer; immigration sponsorship is not available now or in the future.

Nice To Haves

2–4 years of insurance verification experience in an acute care hospital or physician practice group.
Experience with electronic health records (EHR), insurance portals, and revenue cycle workflows.
CHAA – Certified Healthcare Access Associate.

Responsibilities

Verify insurance benefits, eligibility, and pre-determination requirements for scheduled patients before services are rendered.
Coordinate with physician offices to obtain required pre-authorizations and pre-certifications.
Confirm coverage for procedures and treatments and document insurance details, policy limitations, and reimbursement expectations.
Refer uninsured or underinsured patients to financial counseling, financial assistance programs, or payment plan options.
Document and update patient records, including pre-certification numbers, eligibility details, and authorization statuses.
Communicate with patients and physician offices about coverage, financial responsibilities, and payment expectations.
Enter pre-registration documents into the electronic health record in a timely manner and forward them to the appropriate department.
Maintain accurate department records, reports, and documentation in compliance with billing, regulatory, and facility policies.
Identify and resolve insurance discrepancies that could lead to billing errors or claim denials.
Collaborate with case management, patient registration, and billing teams to support revenue cycle operations and reimbursement.
Perform other duties as assigned.
Maintain regular and reliable attendance.
Comply with all policies and standards.

Benefits

Competitive pay.
Medical, dental, vision, and life insurance coverage.
Generous PTO and extended illness benefits.
401(k) with company match.
Career development, learning opportunities, and advancement pathways.
Licensure and certification reimbursement.
Student loan assistance for eligible roles.
Employee rewards and recognition programs.
Voluntary benefits such as pet insurance, identity protection, and legal insurance.
No weekends, holidays, or on-call work.