Insurance Verification- Urology

Clearview-Cancer-Institute; Hillmont (AL); On-site; USD 45,000 - 55,000; Full time

Job summary

Clearview Cancer Institute is seeking an Insurance Benefits Representative to verify patient insurance eligibility, benefits, and manage referrals on a monthly basis. The role involves resolving authorization, billing, and claims issues while explaining coverage to patients.

Candidates should be proficient in Excel, understand managed care, and work effectively in a fast-paced clinical office setting with HIPAA compliance. This position emphasizes team collaboration and accurate documentation.

Qualifications

• Must have a high school diploma or equivalent.
• Must have at least 2 years of experience in medical billing.
• Must be able to verify eligibility and benefits and manage coordination of benefits.

Responsibilities

• Monthly verification of all insurance including managed care policies.
• Notify other departments of uninsured or under-insured patients.
• Resolve issues such as authorization for services, billing, and claims payments.
• Explain insurance benefits and coverage to patients.
• Handle referrals and other duties as assigned.

Skills

HIPAA compliance

Verbal & written communication

Multitasking

Time management

Team oriented

Eligibility verification

Benefits coordination

Customer service

Education

High school diploma or equivalent

Tools

Excel

Job description

Clearview Cancer Institute is north Alabama's leading cancer treatment facility. For over 30 years Clearview Cancer Institute has provided leading-edge treatment and compassionate care to those diagnosed with cancer or blood disorders. Clearview offers every service and amenity needed in an outpatient setting and our dedication to research and involvement in Phase I-IV clinical trials gives our patients the opportunity to receive potentially life-saving treatment options.Why Join Us? We are looking for talented and highly-motivated individuals who demonstrate a natural desire to support the meaningful work of community oncologists and the patients we serve.Job Description:Job PurposeThe purpose of the Insurance Benefits Representative is to verify eligibility, benefits, managed care, and maintain referrals on a monthly basis.Essential Job FunctionsMonthly verification of all insurance including managed care policies. Notify other departments of uninsured or under-insured patients.Resolve managed care issues such as authorization for services, billing, and claims payments.Understand and explain insurance benefits and issues as well as managed care coverage with patients.Other duties as assigned.QualificationsMust be able to work in a fast-paced, multi-tasking environment.Must be familiar with HIPAA and confidentiality laws.Must be able to prioritize and manage time efficiently.Must be able to communicate effectively both verbally and in written communications.Must be team-oriented.Must have knowledge of Excel, insurance benefits, coordination of benefits, and managed care referrals.Must have capability of verifying eligibility, benefits, and be familiar with various insurance company policies, terms, and conditions.Education/ExperienceMust have a high school diploma or equivalent.Must have at least (2) years experience in medical billing.Working ConditionsThis position works in clinical business office setting. This position requires the employee be able to use basic office equipment and multiple software systems in a team-oriented environment. This position has direct contact with patients.Physical RequirementsThis position requires the employee sit at a desk for much of the day, up to two-thirds of the day. This position also requires the employee be in front of a computer for at least two-thirds of the day.Direct reportsThis position is not a supervisory position.