US-Insurance Verify Assoc

R1 Revenue Cycle Management • Cedar Park, TX

76d • $17 - $24

About The Position

R1 is the leading provider of technology-driven solutions that transform the patient experience and financial performance of hospitals, health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industry's most advanced technology platform, encompassing sophisticated analytics, AI, intelligent automation, and workflow orchestration. The Patient Access Insurance Verification Associate's primary focus for this role is to mitigate the financial risks to our hospital clients. In this role you will be responsible for contacting patients directly and/or using alternative means to secure patient's information such as demographics, insurance/coverage and clinical information needed to determine patient's eligibility, coverage, and insurance limitations. To thrive as an Insurance Verification Associate, you will need analytical skills to make decisions regarding coverage details so that patients completely understand what their financial responsibility will be. Associates in this role are empowered to identify additional resources and refer patients who might have difficulty meeting their financial responsibilities.

Requirements

• High School diploma or equivalent.

Responsibilities

• Initiates contact with client hospital patients via telephone using appropriate scripting to ensure the required level of benefit and pre-certification/authorization details such as demographics, insurance/coverage and clinical information are obtained.
• Complete appropriate electronic forms with detailed benefit and pre-certification/authorization information to ensure a clean claim.
• Identifies inaccurate plan codes and corrects in the hospital's main frame.
• Work directly with multiple insurance websites to obtain benefits and authorization validation.
• Adheres to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA), designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI).

What This Job Offers

• Career Level: Entry Level
• Industry: Administrative and Support Services
• Education Level: High school or GED
• Number of Employees: 5,001-10,000 employees