Insurance Verification Representative - ONSITE

Tennova Healthcare- North Knoxville Medical Center; Knoxville (TN); Vor Ort; USD 25.000 - 33.000; Vollzeit

Zusammenfassung

Tennova Healthcare- North Knoxville Medical Center seeks an Insurance Verification Representative to verify coverage, benefits, and eligibility for scheduled procedures. You will support accurate patient records and help obtain prior authorizations to facilitate timely reimbursement.

This is an on-site role at Turkey Creek Medical Center in Knoxville. You will work with clinical and administrative teams, review services for required pre-certifications, communicate requirements to patients, and

Qualifikationen

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

Aufgaben

• 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.

Kenntnisse

Attention to detail

Communication skills

Time management

Data entry accuracy

Tools

Billing software

Jobbeschreibung

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 not a remote postion. This position is located at Turkey Creek Medical Center and 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.