Patient Insurance Verification Specialist

Tennova Healthcare- North Knoxville Medical Center; Knoxville (TN); On-site; USD 25,000 - 33,000; Full time

Job summary

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

Qualifications

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

Responsibilities

• 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.

Skills

Attention to detail

Communication skills

Time management

Data entry accuracy

Tools

Billing software

Job description

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