United States onlyThe Insurance Verification Representative is responsible for researching and updating the insurance information, commercial and government, within various databases with the current benefit status for each patient. Information can be obtained electronically or by direct communication with the insurance companies.
Requirements
- Verify patient insurance coverage
- Take data provided and submit claims to various private and government sponsored insurance companies
- Follow up with pending claims and work denials for all payers
- Query information on remote Medicare software
- Learn new systems and process solutions as they present themselves to ensure proper assignment and workflow
- Contact insurance companies/payers or patients to gather information necessary to complete appeal processing
- Remain compliant with our policies, process and legal guidelines
- Remain compliant with HIPPA and other State and Federal regulations
- Entering and/or updating the benefit information in an accurate manner into the various databases
- Adhere to the production standards set for the department and client
- Accuracy and confidentiality in handling medical records in compliance with HIPPA, Federal, State and Company requirements
- Other duties as assigned by manager
Benefits
- 401k Matching
- Paid Time Off
