Hybrid Insurance Verification Representative

at Huron

• Job title: Insurance Verification Representative
• Job type: Full Time
• Experience level: Junior, Mid level
• Salary: $19 - $25 per hour
• Degree requirement: High School Diploma
• Location requirements: Hybrid, Concord, United States

About the role

• Insurance Verification Representative managing patient insurance verification and financial responsibilities for healthcare organizations. Verifying benefits, obtaining authorizations, and supporting patient inquiries in a hybrid role.

Responsibilities

• Verifies patients’ insurance benefits and information, as well as obtains pre-authorizations from third party payers in accordance with payer requirements, and/or initiates notifications of admission
• Resolves authorization denials by providing additional information, documentation, and appeals
• Completes retro-authorizations for urgent and add-on cases as allowed by insurance providers
• Documents all payer communications and pre-service financial conversations, including payer decisions, collection attempts, and payment plan arrangements
• Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
• Informs patients of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date
• Communicates as needed with registration staff and financial counselors
• Reports all identified compliance risks to appropriate leadership
• Other duties and responsibilities as assigned

Requirements

• Two years of appropriate work experience that would indicate a high level of communication skills and knowledge of the modern revenue cycle
• Broad Knowledge of Government Programs and Insurance Regulations
• US Work Authorization required
• Proficiency with Microsoft office suite (Excel, Word, PowerPoint, Outlook, Visio, SharePoint)
• Ability to pay close attention to details; strong follow-up and follow-through skills
• Requires the use of independent judgment, discretion and decision making abilities
• Ability to interact with internal and external customers in a professional manner
• Ability to ramp up on a client’s environment, processes, historical context, and systems to provide support to an engagement as soon as possible
• Demonstrates a solid understanding of and adheres to all Huron Healthcare compliance program requirements
• May be requested to work overtime and/or weekends to fulfil client requirements

Benefits

• Health insurance
• Dental insurance
• Vision insurance
• 401(k) plan with employer match
• Paid time off
• Paid parental leave and adoption assistance
• Wellness programs