Insurance Verification Representative

Worldwide Salaried Open

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:

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