Insurance Verifier Representative I

Baptist Health Care • Pensacola, FL

2d

About The Position

The Insurance Verification Representative ensures that patient demographics, insurance information, and insurance benefits are obtained and validated with the payer. This information is to be accurately reflected within the EMR for BHC appropriate communications with the payer, patient, and ordering provider must be professional and documented. In addition to the timely execution and review of benefit information, estimates are created in accordance with state regulations regarding transparency and no surprise billing. The Insurance Verification Representative works closely with case management/utilization review, payers, provider practices, patients, scheduling, financial counselors, and registration to ensure proper financial clearances.

Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law. Certain positions may require a Level 2 Background check through AHCA.  Additional information about this requirement can be found here: Florida Care Provider Background Screening Clearinghouse [https://info.flclearinghouse.com/].

Requirements

• Patient demographics, insurance information, and insurance benefits are obtained and validated with the payer.
• Information is accurately reflected within the EMR.
• Appropriate communications with the payer, patient, and ordering provider are professional and documented.
• Timely execution and review of benefit information.
• Estimates are created in accordance with state regulations regarding transparency and no surprise billing.
• Works closely with case management/utilization review, payers, provider practices, patients, scheduling, financial counselors, and registration to ensure proper financial clearances.

Responsibilities

• Obtain and validate patient demographics, insurance information, and insurance benefits with the payer.
• Accurately reflect obtained information within the EMR.
• Communicate professionally with payers, patients, and ordering providers, and document all communications.
• Execute and review benefit information in a timely manner.
• Create estimates in accordance with state regulations regarding transparency and no surprise billing.
• Collaborate with case management/utilization review, payers, provider practices, patients, scheduling, financial counselors, and registration to ensure proper financial clearances.

What This Job Offers

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