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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:

  • medical
  • dental
  • tuition remission
  • competitive salaries

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