About the role
Must reside in Montana!This position is remote eligible for Montana Residents Only!
Position Summary:
The Insurance Verification Representative provides insurance verification for insured patients; informing them of financial obligation at time of service and when prior authorization or referrals are required; responds to all internal and external phone calls regarding patients’ insurance verification inquiries. Processes and posts patient payments in an accurate and timely manner in accordance with department policies, procedures and performance goals.
Minimum Qualifications:
High School Diploma or Equivalent
Customer service experience
Preferred: Associates or Bachelor’s Degree or work experience
Preferred: 2 years of experience working for or with medical insurance companies in a healthcare setting
Preferred: Experience in verifying eligibility and benefit limits
Essential Job Functions:
Performs in depth insurance benefit verification with all payer sources to ensure maximum payment for services provided.
Coordinates with customers to obtain all information needed, based on medical criteria from the insurance payer, healthcare teams, and customers.
Ensures insurance related tasks are performed accurately, efficiently, and timely to meet department and company goals.
Responsible for handling incoming and outgoing calls from internal team members, insurance payers, and patients related to insurance benefits with superior customer service skills.
Cross train with Patient Access, Billing, and Financial Counseling to ensure smooth work flow and functional coverage.
Understand and comply with all applicable Organizational policies and procedures.
Processes and posts patient payments in an accurate and timely manner in accordance with department policies, procedures and performance goals.
Knowledge, Skills and Abilities
Demonstrates sound judgement, patience, and maintains a professional demeanor at all times
Ability to work in a busy and stressful environment
Strong interpersonal, verbal and written communication skills
Ability to work varied shifts
Exercises tact, discretion, sensitivity and maintains confidentiality
Computer applications, MS Office, EMR, internet applications and standard office equipment
Ability to analyze, organize and prioritize work while meeting multiple
Self-directed, completes assignments accurately, thoroughly and with minimal oversight
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.
77212050 Patient Access ManagementOriginally posted on Himalayas