Insurance Verification & Authorization Specialist

Tennova---Turkey-Creek-Medical-Center-1; Knoxville (TN); On-site; USD 36,000 - 48,000; Full time

Job summary

Tennova Turkey Creek Medical Center in Knoxville, TN, is seeking an Insurance Verification Representative to verify coverage and benefits for scheduled procedures, ensuring accuracy in patient records and facilitating timely reimbursement.

You will collaborate with clinical and administrative teams to review services for pre-certifications, obtain required authorizations, communicate requirements to patients, and maintain billing systems with a focus on accuracy and reliability.

Qualifications

• 0-2 years of experience in insurance verification, billing, or a related healthcare role.

Responsibilities

• Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
• Reviews scheduled services to determine necessary pre-certifications or authorizations.
• Coordinates with insurance providers to obtain required authorizations and prior approvals.
• Communicates insurance requirements and benefit information to patients.
• Accurately enters and updates insurance information in patient records and billing systems.
• Identifies and resolves insurance-related discrepancies or issues, working with other departments as necessary.
• Assists with resolving denied authorizations and facilitates appeals as required.
• Performs other duties as assigned.
• Maintains regular and reliable attendance.
• Complies with all policies and standards.

Skills

Insurance terminology

Eligibility verification

Data entry accuracy

Communication skills

Time management

Computer literacy

Tools

Billing software

Job description

Tennova Turkey Creek Medical Center in Knoxville, TN, is seeking an Insurance Verification Representative to verify coverage and benefits for scheduled procedures, ensuring accuracy in patient records and facilitating timely reimbursement.

You will collaborate with clinical and administrative teams to review services for pre-certifications, obtain required authorizations, communicate requirements to patients, and maintain billing systems with a focus on accuracy and reliability.