Catholic Health Initiatives INSURANCE VERIF REP in LONDON, Kentucky
INSURANCE VERIF REP
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.
Bachelor degree in related
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