Insurance Verification Representative - Tennova Gastroenterology - Turkey Creek

Community Health Systems • Knoxville, TN

5d

About The Position

The Insurance Verification Representative verifies insurance coverage and benefits for scheduled procedures and services, ensuring patient records are accurate and helping obtain prior authorizations when needed to facilitate timely reimbursement. The role works closely with clinical and administrative teams to support a seamless patient experience.

The position offers 8-hour shifts during the stated hours of operation, Monday through Friday, 8:00 a.m. to 5:00 p.m. Weekends, holidays, and call are not required.

Requirements

• 0–2 years of experience in insurance verification, billing, or a related role in a healthcare setting.
• 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.
• Proficiency in basic computer skills and comfort 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 necessary.
• 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, coordinating with other departments as needed.
• Assist with resolving denied authorizations and facilitate appeals as required.
• Perform other duties as assigned.
• Maintain regular and reliable attendance.
• Comply with all policies and standards.

Benefits

• Medical, dental, vision, and life insurance coverage.
• Generous paid time off and extended illness benefits.
• 401(k) with company match.
• Career development, learning opportunities, and advancement pathways.
• Licensure and certification reimbursement for eligible roles.
• Student loan assistance for eligible roles.
• Employee rewards and recognition programs.
• Voluntary benefits, including pet insurance, identity protection, and legal insurance.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed