Insurance Verification & Authorization Specialist

Tennova Healthcare- Turkey Creek Medical Center; Knoxville (TN); On-site; USD 36,000 - 52,000; Full time

Job summary

Tennova Healthcare- Turkey Creek Medical Center is seeking an Insurance Verification Representative to verify patient coverage, benefits, and eligibility to ensure accurate reimbursement and timely services.

The role collaborates with physician offices, case management, and financial counseling to obtain pre-certifications and manage financial obligations, while maintaining accurate records and minimizing denials.

Qualifications

• 0-2 years of experience in insurance verification or medical billing in healthcare.
• 2-4 years of insurance verification in acute care hospital or physician practice preferred.
• Experience with EHR, insurance portals, and revenue cycle workflows preferred.

Responsibilities

• Verify insurance benefits, eligibility, and pre-determination for scheduled patients before services.
• Coordinate pre-authorizations and pre-certifications to prevent delays.
• Document and update patient records with coverage details and authorization statuses.
• Initiate financial counseling or referrals for uninsured or underinsured patients.
• Communicate clearly with patients and physician offices about coverage and financial responsibilities.
• Maintain accurate department records and ensure compliance with policies.

Skills

Insurance verification

Pre-authorizations

Patient financial services

EHR systems

Communication skills

Time management

HIPAA

Job description

Tennova Healthcare- Turkey Creek Medical Center is seeking an Insurance Verification Representative to verify patient coverage, benefits, and eligibility to ensure accurate reimbursement and timely services.

The role collaborates with physician offices, case management, and financial counseling to obtain pre-certifications and manage financial obligations, while maintaining accurate records and minimizing denials.