Insurance Verification- Urology

OneOncology•Huntsville, AL

About The Position

The Insurance Benefits Representative verifies patient eligibility and insurance benefits, handles managed care matters, and maintains referrals on a monthly basis. The role includes supporting patients and clinical business office teams by explaining insurance coverage and addressing insurance-related issues.

Requirements

  • High school diploma or equivalent.
  • At least 2 years of experience in medical billing.
  • Ability to work in a fast-paced, multitasking environment.
  • Familiarity with HIPAA and confidentiality laws.
  • Ability to prioritize and manage time efficiently.
  • Effective verbal and written communication skills.
  • Team-oriented approach.
  • Knowledge of Excel, insurance benefits, coordination of benefits, and managed care referrals.
  • Ability to verify eligibility and benefits, and familiarity with insurance company policies, terms, and conditions.

Responsibilities

  • Verify all insurance, including managed care policies, monthly.
  • Notify other departments about uninsured or under-insured patients.
  • Resolve managed care issues, including authorizations for services, billing, and claims payments.
  • Explain insurance benefits, insurance issues, and managed care coverage to patients.
  • Perform other duties as assigned.
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