Patient Insurance Representative

WakeMed Health & Hospitals; Raleigh (NC); On-site; USD 42,000 - 52,000; Full time

Job summary

WakeMed Health & Hospitals is seeking a Patient Insurance Representative to help patients navigate complex billing, financial and insurance workflows. The role coordinates with physician practices and insurers to obtain authorizations for scheduled surgeries and procedures, performs essential billing tasks, and ensures high-quality customer service.

Ideal candidates will have a High School Diploma or Equivalent and at least 1 year of healthcare experience, with strong interpersonal and

Qualifications

• High School Diploma or Equivalent Required
• 1 Year Healthcare Required

Responsibilities

• Navigate billing, financial and insurance workflows to support patients.
• Coordinate with physician practices and insurance companies to obtain authorization for scheduled surgeries and procedures.
• Answer billing questions and collect payments; provide estimates and confirm insurance details.
• Serve as liaison to patients, community and healthcare professionals to ensure high-quality customer service.
• Review patient charts and relay necessary information between physician offices and insurers.

Education

High School Diploma or Equivalent

Job description

Overview

The Patient Insurance Representative will help patients seamlessly navigate complex billing, financial and insurance workflows. The Patient Insurance Representative is responsible for coordinating with physician practices and insurance companies to obtain authorization for scheduled surgeries and procedures. The Patient Insurance Representative will accurately perform administrative duties required to work work queues, provide estimates, confirm insurance, secure authorizations, answer billing questions and collect payments. As a liaison to patients, the community, and healthcare professionals, this position requires excellent interpersonal and communication skills to ensure delivery of the highest quality customer service. The Patient Insurance Representative work environment may be in the physician practice or in a call center. This task-based, metrics driven position, reviews and interprets insurance authorization coverage online and through conversations with insurance company representatives. The Patient Insurance Representative supports multiple specialties, reviews patient charts, communicates with the physician office to obtain needed information and relays necessary information to the insurance company.

Department Description

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org.

EOE

Licensure

Not Applicable

Education

High School Diploma or Equivalent Required

Experience

1 Year Healthcare Required