Insurance Verification Representative

Job Description:

• Accounts are completed in a timely manner in support of patient satisfaction
• Verification of eligibility and benefits via RTE in UChart, online insurance websites, telephone or other source of automated services
• Add and/or edit insurance information in UChart
• Completes the checklist and document co-pay
• Creates referral if applicable, “Benefit only” or “Preauthorization”, and documents benefits information
• Meets productivity standards for assigned work queue
• Assists in educating and acts as a resource to patients
• Contact Primary Care Physician offices and/or Health Plans
• Submits all necessary documentation required to process authorization request
• Obtains authorization for both facility and provider
• Enters and attaches authorization information in referral section of UChart
• Approves referral and financially clear visits
• Communicates with patients and/or departments regarding authorization denial
• Contact the Departments and/or patient when additional information is required
• Participates in process improvement initiatives
• Provides customer service and assists patients and other UHealth staff

Requirements:

• High School Diploma or equivalent
• Minimum 1 year of relevant work experience
• Computer literate (EPIC scheduling and registration application experience a plus)
• Strong written and oral communication skills
• Able to work in a team environment
• Graceful under pressure and stressful situations
• (3) years of direct experience in Insurance Verification and Registration for Sr. Insurance Verification Representative
• Demonstrated knowledge of insurances, including authorization/referrals guidelines and requirements
• Demonstrated ability to communicate effectively in written and verbal form
• Bi-lingual knowledge a plus
• Ability to interact and assist patients of all ages, cultural background and with special needs

Benefits:

• medical
• dental
• tuition remission
• competitive salaries

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