Job Posting for INSURANCE VERIFIER, ER - ADVANCED ODESSA HOSPITAL AND CLINIC at ADVANCED ODESSA HOSPITAL & CLINICS LLC
JOB SUMMARY
The Insurance Verification Specialist is responsible for verifying patient eligibility and insurance plan benefits. The Insurance Verification Specialist will verify coverage via insurance carrier online portal, contacting carrier directly and document findings on patient Electronic Medical Record (EMR).
DUTIES AND RESPONSIBILITIES
Verify insurance eligibility for upcoming appointments by utilizing online websites or by contacting the carriers directly.
Determines patient co-payments and calculates co-insurance and deductibles.
Enters insurance coverage (co-payments, deductibles, etc.) accurately into patient Electronic Medical Record (EMR).
Assist front office with verification questions or concerns.
Obtains authorizations for procedures that require approval, as well as following up on pending authorizations.
Communicates insurance coverage with the patient and the staff.
Resolves any coverage issues and update patient Electronic Medical Record (EMR).
Investigates and verifies insurance coverage and eligibility for scheduled services.
Creates and collects patient out of pocket estimates.
Financial clear office visits that may involve minor procedures for specialist services.
Contacts external PCP offices to initiate and secure insurance PCP referral approvals for specialists.
REQUIREMENTS
High school diploma or GED.
Some College, Associate’s Degree or higher preferred.
Minimum two years' medical office experience in Insurance Verification
One year of relevant experience in a Hospital or Acute Care setting.
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