Insurance Verifier
Opelousas General Health System•Opelousas, LA
•Onsite
About The Position
Representative is responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled and non-scheduled emergency and direct admits. The person in this position will be accountable for accuracy of all insurance benefit/pre-certification information prior to billing.
Requirements
- High School Diploma required.
- 1 year of experience in Hospital admissions and/or billing experience
Responsibilities
- Answers basic insurance questions and /or refers appropriately as necessary.
- Verifies and pre-certifies insurance according to department policy
- Documents all activity relative to the account.
- Maintains good communication with physicians and staff to promote a good working relationship.
- Demonstrates a clear understanding of insurance pre-certification requirements.
- Enters all relevant insurance benefits and pre-certification information into computer.
- Keeps UR and Business Services department updated on any changes in status of all in-house patients.
- Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding inpatient vs. Observation stays and pre-certification requirements.
- Assist with registrations when needed in extremely busy conditions.
- Helps patients arrange payment for services that are not covered by their insurance companies
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
