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Insurance Verification Rep - Neuroscience Institute - Full-time / Part-time
•30 days ago
| Hours | Full-time, Part-time |
|---|---|
| Location | Little Rock, AR Little Rock, Arkansas |
About this job
Job Summary:
Under general supervision, Insurance Verification Representative is responsible for verifying patient's insurance information and obtains authorization prior to scheduled visits in accordance with HIPAA guidelines, internal standards and procedures, and other regulatory requirements. Responsible for interpreting coverage limitations, patient versus insurance coverage, follows up with payors/patients to secure account and responds to insurance verification questions. Work closely with physicians, patients, and other healthcare staffs to ensure authorizations cover the services needed and that correct information is obtained.
Essential Duties:
* Ensure insurance coverage by telephone.
* Resolve any issues with coverage and escalates complicated issues to manager.
* Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
* Coordinate with clinical staff to obtain charge information for all patients.
* Code procedures performed and diagnosis on charge.
* Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.
* Coordinate copies of medical documentation with physician charges to support billing to third-party payers.
* Identify physician services provided, but not accurately documented in the medical record.
* Resolve routine patient billing inquiries and problems.
* Perform other duties as assigned.
* Bachelor degree in related field preferred.
Under general supervision, Insurance Verification Representative is responsible for verifying patient's insurance information and obtains authorization prior to scheduled visits in accordance with HIPAA guidelines, internal standards and procedures, and other regulatory requirements. Responsible for interpreting coverage limitations, patient versus insurance coverage, follows up with payors/patients to secure account and responds to insurance verification questions. Work closely with physicians, patients, and other healthcare staffs to ensure authorizations cover the services needed and that correct information is obtained.
Essential Duties:
* Ensure insurance coverage by telephone.
* Resolve any issues with coverage and escalates complicated issues to manager.
* Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
* Coordinate with clinical staff to obtain charge information for all patients.
* Code procedures performed and diagnosis on charge.
* Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.
* Coordinate copies of medical documentation with physician charges to support billing to third-party payers.
* Identify physician services provided, but not accurately documented in the medical record.
* Resolve routine patient billing inquiries and problems.
* Perform other duties as assigned.
* Bachelor degree in related field preferred.