Insurance Verification Rep

OverviewCHI Health strives to care for you the way you care for your patients.We understand you have personal responsibilities outside of your profession and also care about your well-being.With you in mind, we offer the following benefits to support your work/life balance:

Health/Dental/Vision Insurance

Direct Primary Plan (No copay, no deductible, and access to CHI Health provider 24/7)

Premium Access to our Family Care Program supporting your needs for childcare, pet care, and/or adult dependent care

Voluntary Protection: Group Accident, Critical Illness, and Identity Theft

Employee Assistance Program (EAP) for you and your family

Paid Time Off (PTO)

Tuition Assistance for career growth and development

Matching 401(k) and 457(b) Retirement Programs

Adoption Assistance

Wellness Programs

Flexible spending accounts

From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.ResponsibilitiesUnder 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.Key Responsibilities

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.

QualificationsEducation / Accreditation / Licensure:

Bachelor degree in related field preferred.

Experience: 2 – 4 years healthcare experience preferred.Pay Range$15.00 - $20.33 /hourWe are an equal opportunity/affirmative action employer.