Patient Access Insurance Verification Representative
Patient Access Insurance Verification Representative
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Job Description
R1is the leading provider of technologydriven solutions that transform the patient experience and financial performance of hospitals health systems and medical groups. We are the one company that combines the deep expertise of a global workforce of revenue cycle professionals with the industrys most advanced technology platform encompassing sophisticated analytics AI intelligent automation and workflow orchestration.
As ourPatient Access Insurance Verification Representative your primary focus is to mitigate the financial risks to our hospital clients. Every day you will work in the insurance verification department contacting insurance companies using various means to secure patients eligibility insurance/coverage and clinical information needed to determine patients eligibility coverage and insurance limitations as well as obtaining authorizations and completing notice of admissions (NOA). The representative will use their analytical skills to make decisions and explain coverage details to case managers and will work closely with utilization management and insurance companies. Success in this role is measured with the use of weekly productivity scorecards. To thrive in this role you must be detailoriented selfmotivated teamoriented and comfortable making outbound calls to insurance carriers. The representative will need outstanding time management skills and the ability to simultaneously manage multiple tasks while remaining selfdirected. The representative should have experience in a role that required strong interpersonal and problemsolving skills and should have demonstrated the ability to work independently and under pressure with minimal supervision.
Heres what you will experience working as a Patient Access Insurance Verification Representative:
Initiating contact with client hospital patients insurance companies via telephone website using appropriate terminology to ensure the required level of benefit precertification/authorization and notifications of admissions are obtained for all bedded patients including acute emergency admissions skilled nursing hospice and behavioral health
Completing appropriate electronic systems with detailed benefit and precertification/ authorization information to ensure a clean claim
Identifying inaccurate plan codes and making corrections in the hospitals registration system and billing system as needed
Working directly with multiple insurance websites to obtain benefits authorization validation and notice of admissions
Working with patients with newborn admissions coordinating the addition of newborn to policy
Adhering to the guidelines set forth in the Health Insurance Portability and Accountability Act (HIPAA) designed to prevent or detect unauthorized disclosure of Protected Health Information (PHI)
Required Qualifications:
High School diploma or GED
Please be advised this is a fulltime role. The representative will work Monday through Friday 9:30am 6pm CST. The representative will work onsite at Ascension St. Vincents East 50 Medical Park Dr E Birmingham AL 35235.The representative must be up to date on all vaccines (including but not limited to annual flu shot). We can help you with your vaccines at no cost to you.
The healthcare system is always evolving and its up to us to use our shared expertise to find new solutions that can keep up. On our growing team youll find the opportunity to constantly learn collaborate across groups and explore new paths for your career.
Our associates are given the chance to contribute think boldly and create meaningful work that makes a difference in the communities we serve around the world. We go beyond expectations in everything we do. Not only does that drive customer success and improve patient care but that same enthusiasm is applied to giving back to the community and taking care of our team including offering a competitive benefits package.
R1 RCM Inc. (the Company) is dedicated to the fundamentals of equal employment opportunity. The Companys employment practices including those regarding recruitment hiring assignment promotion compensation benefits training discipline and termination shall not be based on any persons age color national origin citizenship status physical or mental disability medical condition race religion creed gender sex sexual orientation gender identity and/or expression genetic information marital status status with regard to public assistance veteran status or any other characteristic protected by federal state or local law. Furthermore the Company is dedicated to providing a workplace free from harassment based on any of the foregoing protected categories.
If you have a disability and require a reasonable accommodation to complete any part of the job application process please contact us atfor assistance.
CA PRIVACY NOTICE: California resident job applicants can learn more about their privacy rights California Consent
To learn more visit: R1RCM
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Required Experience:
Unclear Seniority
Employment Type
Full-Time
