Onsite Insurance Verification Specialist

Community Health Systems, Inc.; Knoxville (TN); On-site; USD 23,000 - 30,000; Full time

Job summary

The Insurance Verification Representative at Turkey Creek Medical Center is responsible for verifying insurance coverage and benefits for scheduled procedures, ensuring accurate patient records, and aiding in obtaining prior authorizations to support timely reimbursement.

This on-site role collaborates with clinical and administrative teams to provide a seamless patient experience and accurate billing, with attention to detail and strong communication skills required.

Qualifications

• 0-2 years of experience in insurance verification, billing, or a related healthcare role.
• Basic knowledge of insurance terminology and eligibility verification.
• Understanding of authorization processes and prior approvals.

Responsibilities

• Verify patient insurance information, eligibility, benefits, and coverage.
• Review scheduled services to determine necessary pre-certifications or authorizations.
• Coordinate with insurance providers to obtain required authorizations and prior approvals.
• Communicate insurance requirements to patients and explain coverage details.
• Enter and update insurance data in patient records and billing systems.
• Identify and resolve insurance discrepancies in collaboration with other departments.
• Assist with denied authorizations and facilitate appeals as needed.
• Perform other duties as assigned.

Skills

Insurance terminology

Eligibility verification

Authorization processes

Attention to detail

Data entry accuracy

Communication skills

Time management

Healthcare software familiarity

Job description

The Insurance Verification Representative at Turkey Creek Medical Center is responsible for verifying insurance coverage and benefits for scheduled procedures, ensuring accurate patient records, and aiding in obtaining prior authorizations to support timely reimbursement.

This on-site role collaborates with clinical and administrative teams to provide a seamless patient experience and accurate billing, with attention to detail and strong communication skills required.