Hybrid Insurance Verification Representative

Posted 3 weeks ago

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About the role

  • 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

Job title

Insurance Verification Representative

Job type

Experience level

JuniorMid level

Salary

$19 - $25 per hour

Degree requirement

High School Diploma

Location requirements

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