Insurance Representative

Vitruvian Health

Cleveland (TN)

Hybride

USD 36 000 - 48 000

Plein temps

14 jours+

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Résumé du poste

Vitruvian Health in Cleveland, TN is seeking an Insurance Representative to verify patient demographics and insurance benefits, and to inform patients of estimated liabilities. The role ensures hospital reimbursement for services and supports multiple departments with accurate information.

The position requires attention to detail, clear communication, and adherence to government guidelines while coordinating pre-certifications and authorizations as needed.

Qualifications

  • Experience verifying patient demographics and insurance benefits.
  • Ability to explain estimated patient liabilities clearly.
  • Attention to detail in data entry and documentation.

Responsabilités

  • Gathers accurate patient demographics and insurance information.
  • Verifies coverage and documents benefits in the system.
  • Notifies supervisor of self-pay and coverage issues.
  • Ensures pre-certifications and authorizations are obtained when required.

Connaissances

Customer service
Insurance verification
Communication

Outils

AS400

Description du poste

## Insurance RepresentativeApply: Cleveland, TN: Full time: Posted Today: End Date: December 15, 2026 (30+ days left to apply): JR101736**Who We Are**At Vitruvian Health, we serve with compassion. As the leading healthcare system for northwest Georgia and southeast Tennessee, we are committed not only to strengthening the health of our communities, but also to supporting the growth, success, and well‐being of every team member. **Our Legacy**Formerly Hamilton Health Care System, Vitruvian Health is built on a legacy of trust, innovation, and exceptional care. With more than 80 access points across the region—including Hamilton Medical Center and Bradley Medical Center—you’ll have the opportunity to be part of something bigger: a connected, mission‐driven team making a difference every day.**Our Values**Our core values—**Professionalism, Respect, Integrity, Diversity, and Excellence (PRIDE)**—guide every interaction and decision. We believe in empowering our people, celebrating what makes us unique, and delivering care that reflects the heart of our mission. **Your Career With Us**Join us and build a meaningful career where you’re valued, inspired, and supported to make a real impact. **Excellence. Every person. Every time.**Hours: 8:30AM - 5PM, Weekdays**JOB SUMMARY**The Insurance Representative is responsible for verifying all patient demographics and patient insurance benefits in order to inform patients of their estimated liabilities. Ensuring that the hospital is reimbursed for services.**General Responsibilities:**Gathers accurate patient demographic and insurance information on Inpatient/Outpatient registration. Distributes appropriate information to all departments Monitors diagnostic tests ordered by physicians for Medical necessity according to government guidelines. Verifies patient’s insurance coverage/benefits and documents information in the AS400. Notifies Supervisor of Self-pay patients and UR Department of Insurance coverage issues. Ensures the pre-certifications and authorizations are obtained by physician offices when required. Notifies appropriate departments if not obtained. Perform other duties as assigned according to departmental standards.
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