Insurance Verification Authorization
Chesapeake, VA - USA
Job Summary
- Verify insurance coverage and benefits for all scheduled patients at least 24-48 hours in advance
- Confirm accurate billing address of carrier and contact person when appropriate
- Confirm patient demographics referring physician information and other chart information is accurate
- On behalf of the referring physician obtain authorization for services from insurance company if required
- Process patient and insurance carriers telephone calls
- Contact patient and/or referring physician when insurance coverage cannot be verified
- Notify patient of any co-payments cost-shares or deductibles
- Communicate with Scheduling Department when authorization cannot be obtained
- Communicate with the front desk of any special circumstances
- Properly notate accounts of all communications with patients
- Assure that copies of all referrals written authorizations and authorization numbers are entered in patient RIS record and provided to the billing department
- Obtain necessary clinical records to facilitate obtaining authorization
- Contact attorney verify representation and billing address date of accident or injury. Instruct front desk personnel to obtain patient signature on lien letter
- Review authorization letters for accuracy
- Refer patients with special payment circumstances to management
- Communicate changes with insurance companies requirements with staff and management
- Maintain the current exam board as well as the pending board
- High School Diploma
- Previous healthcare experience preferred with courses in medical terminology preferred
- Ability to operate copier FAX machine and computer
- Must have excellent organizational communication and interpersonal skills.
- Ability to set priorities and manage varying workload
- Must be able to remain calm in stressful situations. Must display courtesy and empathy toward co-workers and physicians. Must be able to make sound judgments and execute the appropriate actions based on the needs of the knowledge of departmental policies and procedures.
- Must be discrete with confidential information and abide by corporate HIPAA policies.
- Must be able to move about freely. Sits stands walks intermittently during the day.
- Must possess sufficient visual and auditory acuity and manual dexterity to perform task.
- Must attend mandatory practice training and departmental requirements annually.
About Company
Chesapeake Regional Healthcare is a health system laser-focused on innovation, known for making medical history in the region and providing patients with truly personal care. Its hospital, Chesapeake Regional Medical Center, is the only independent, community-based acute care hospital ... View more