Insurance Verification Representative

Tennova Healthcare- North Knoxville Medical Center; Powell (TN); On-site; USD 32,000 - 42,000; Full time

Job summary

Tennova Healthcare- North Knoxville Medical Center is seeking an Insurance Verification Representative to verify coverage, benefits, and eligibility for scheduled services. The role collaborates with clinical and administrative teams to ensure timely reimbursement and a seamless patient experience.

This is a 100% onsite position. Responsibilities include obtaining necessary authorizations, communicating coverage details to patients, and maintaining accurate records in billing systems while

Qualifications

• 0-2 years of experience in insurance verification, billing, or a related role in a healthcare setting.
• Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
• Strong attention to detail and accuracy in data entry and documentation.

Responsibilities

• Verify patient insurance information, including eligibility, benefits, and coverage.
• Review scheduled services to determine pre-certifications or authorizations.
• Coordinate with insurers to obtain required authorizations and approvals.
• Explain insurance requirements to patients and answer coverage questions.
• Enter and update insurance data in patient records and billing systems.

Skills

Insurance verification

Data entry accuracy

Communication skills

Time management

Healthcare software

Tools

Billing software

Job description

Job Summary

The Insurance Verification Representative is responsible for verifying insurance coverage and benefits for scheduled procedures and services. This role ensures accuracy in patient records and assists in obtaining prior authorizations, if needed, to facilitate timely reimbursement. The Insurance Verification Representative works closely with clinical and administrative teams to provide a seamless patient experience.

This is a 100% onsite work schedule.

Essential Functions

• Verifies patient insurance information, including eligibility, benefits, and coverage limitations.
• Reviews scheduled services and procedures to determine any necessary pre-certifications or authorizations.
• Coordinates with insurance providers to obtain required authorizations and verifies prior approvals.
• Communicates insurance requirements and benefit information to patients and answers any questions related to coverage.
• Accurately enters and updates insurance information in the patient’s medical record and billing systems.
• Identifies and resolves any 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.

Qualifications

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

Knowledge, Skills And Abilities

• Basic knowledge of insurance terminology, eligibility verification, and authorization processes.
• Strong attention to detail and accuracy in data entry and documentation.
• Effective communication and interpersonal skills for interacting with patients, staff, and insurance companies.
• Ability to manage time effectively and work in a fast-paced environment.
• Proficient in basic computer skills and comfortable navigating healthcare billing or insurance software.