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Alternate job titles: Patient Insurance Pre-Verification Coordinator

Responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. May require a bachelor's degree in area of specialty. Typically reports to a supervisor or manager. Typically requires 2 to 4 years of related experience. Gains exposure to some of the complex ta more...



Alternate job titles: Insurance Verification Specialist

The Patient Insurance Pre-Verification Coordinator ensures insurance coverage by telephone, resolves any issues with coverage and escalates complicated issues to a supervisor or manager. Responsible for the pre-verification of insurance for patients being admitted into the hospital for care. Being a Patient Insurance Pre-Verification Coordinator may require a bachelor's degree in area of specialty. Interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all hospital and regulatory policies are in compliance. In addition, Patient Insurance Pre- more...


Alternate job titles: Admissions/Registration Clerk | Admitting Clerk/Registrar | Admitting Specialist | Hospital Admitting Clerk | Patient Admissions Clerk | Patient Registration Clerk

The Patient Intake Clerk interviews patients to obtain required medical and financial information and completes registration forms. Registers and admits patients to hospital. Being a Patient Intake Clerk may be expected to perform other admissions related clerical work. Verifies patient insurance and ensures registration forms are properly signed. In addition, Patient Intake Clerk typically requires a high school diploma or its equivalent. Typically reports to supervisor and/or manager. Being a Patient Intake Clerk possesses a moderate understanding of general aspects of the job. Works under t more...


Alternate job titles: Reimbursement Specialist - Healthcare | Provider Reimbursement Validation Specialist

The Reimbursement Coding Verification Specialist reviews appropriateness of CPT-4/ICD-10 coding and determines if care provided corresponds to the charges submitted. Determines the extent to which patients' insurance covers their treatments. Being a Reimbursement Coding Verification Specialist may assist in identifying fraudulent non-plan billing practices and assists the legal department with litigation preparation. Ensures compliance with Federal and State regulations and company policies that govern Medicare and state payment systems. In addition, Reimbursement Coding Verification Specialis more...



Alternate job titles: Staff Nurse - RN - Home Care Admissions | Home Care Patient Assessment (RN)

The Home Care Intake Specialist (RN) interviews the patient and family to determine appropriateness for services. Evaluates patients referred to home care services and determines the types of services to be provided. Being a Home Care Intake Specialist (RN) coordinates the development of patient home care plans that specify the frequency and duration of the services provided. Obtains initial and ongoing referral documentation from physicians, insurers, and providers. In addition, Home Care Intake Specialist (RN) initiates care with service providers. Completes admission, referral, and insuranc more...


Sells insurance to new and current clients. May require an associate's degree with at least 2 years of experience in the field or in a related area. Is familiar with standard concepts, practices, and procedures within a particular field. Relies on limited experience and judgment to plan and accomplish goals. Performs a variety of tasks. Works under general supervision; typically reports to a supervisor or manager. A degree of creativity and latitude is expected. more...



Alternate job titles: Insurance Placement Specialist I

Develops and markets customer business to different insurance carriers to obtain quotes based on an evaluation and analysis of the customer's insurance needs and requirements. Assesses and negotiates quotes from different carriers based on exposure, risk, and financing. Develops recommendations to advises customers on the best options that will meet their needs and to place and retain the business. Requires knowledge of complex insurance products and a variety of lines such as commercial property & casualty, employee benefits, and others. Requires a bachelor's degree. Requires insurance licens more...


Alternate job titles: Loss Control Supervisor | Risk Services Safety Supervisor

The Insurance Accident Investigations Supervisor prevents injury by identifying and anticipating concerns and hazards with insured accounts of high complexity and exposure. Supervises safety programs and performs accident investigations regarding complicated or special accounts; reports hazards found. Being an Insurance Accident Investigations Supervisor supports and ensures qualified loss control service to agents and insured clients within an assigned territory. Recommends mitigation solutions. In addition, Insurance Accident Investigations Supervisor promotes awareness and conducts safe wor more...


Alternate job titles: Claim Representative Supervisor

Acts as team lead for a group of Insurance Claim Service Representative in a contact center setting. Monitors and evaluates interactions and workflow to ensure that quality and volume standards are maintained. Coaches and guides less experienced team members. Responds to and resolves complaints and complex claims issues. Ensures compliance with State Insurance Department regulations. Requires a high school diploma or equivalent. Typically reports to a manager. Supervises a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes. C more...



Alternate job titles: Life Underwriting Supervisor

The Life Insurance Underwriting Supervisor accepts, modifies or declines a risk through evaluation of an individual's medical history or physical condition, occupational hazards, financial background, insurable interest and other information. Supervises group of underwriters who review, analyze and inspect life insurance contracts. Being a Life Insurance Underwriting Supervisor is familiar with current legislative and compliance processes affecting life insurance. Analyzes various rate plans utilizing the organization's claims history to determine the appropriate rate plan and benefits costs. more...


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