Tour 2 (9:00am – 5:00pm)
PURPOSE OF POSITION:
A member of the revenue cycle process, the Insurance Verification Representative's primary responsibility is to perform all insurance verification, notification, and authorization activities. Major responsibilities include interacting with insurance companies, patients, physician offices, and other hospital departments to financially secure accounts.
AREAS OF RESPONSIBILITIES:
Patient Access, Insurance Verification and Financial Clearance
SUMMARY OF DUTIES AND RESPONSIBILITIES:
Complete notification, verification, and authorization for scheduled and non-scheduled visits, as assigned
- Contact insurance payers to secure authorizations for required services, and verify coverage and benefits
- Coordinate with Case Management to ensure extended authorizations are secure
- Communicate with physician offices regarding pre-certification requirements
- Communicate with patients to obtain updated insurance information, as needed
- Utilize insurance websites/portals to verify insurance coverage and obtain authorizations
- Document patient information clearly and completely in the Health Information System
- Scan patient ID, insurance card(s), referral forms (if applicable) and consent forms obtained from the patient into document imaging system
- Interact with other departments to financially secure accounts
- Refer accounts requiring escalation to Supervisor in a timely manner
- Attend all necessary training sessions to effectively perform the day-to-day functions of the position
- Perform all other duties as assigned by the Patient Access Manager or Supervisors