Catholic Health Initiatives INSURANCE VERIF REP in LONDON, Kentucky

INSURANCE VERIF REP

Description

Job Summary:

Under general supervision,

Insurance Verification Representative is responsible for verifying patient’s

insurance information and obtains authorization prior to scheduled visits in

accordance with HIPAA guidelines, internal standards and procedures, and other

regulatory requirements. Responsible for interpreting coverage limitations,

patient versus insurance coverage, follows up with payors/patients to secure

account and responds to insurance verification questions. Work closely with

physicians, patients, and other healthcare staffs to ensure authorizations

cover the services needed and that correct information is obtained.

  • Ensure insurancecoverage by telephone.

  • Resolve anyissues with coverage and escalates complicated issues to manager.

  • Interviewpatients and completes all paperwork necessary to ensure the admittingprocess is efficient and all clinic and regulatory policies are incompliance.

  • Coordinate withclinical staff to obtain charge information for all patients.

  • Code proceduresperformed and diagnosis on charge.

  • Assignappropriate ICD-9, CPT and HCPCS code(s) to accurately support the needand documentation for each service.

  • Coordinatecopies of medical documentation with physician charges to support billingto third-party payers.

  • Identifyphysician services provided, but not accurately documented in the medicalrecord.

  • Resolve routinepatient billing inquiries and problems.

  • Perform otherduties as assigned.

Qualifications

Education

Bachelor degree in related

field preferred.

Job Administrative and Clerical

Primary Location KENTUCKY-LONDON-MEDICAL ARTS BUILDING

Daily Schedule M-F

Scheduled Hours per 2-week Pay Period 80

Weekends Required None

Req ID: 2017-R0120648