Insurance Verification Rep - Clinic
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Baylor St. Luke's Medical Group
TX
Summary
The Insurance Verification Representative is responsible for verifying patient insurance benefits and coordinating with clinical staff to ensure accurate billing. They also interview patients to complete necessary paperwork and assign appropriate medical codes to support service documentation.
Job Description
Where You’ll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents. Our world needs compassion like never before. Our communities need caring and our families need protection. With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Job Summary and Responsibilities
As an Insurance Verification Representative, you will provide critical pre-service support and meticulous verification of patient insurance benefits, ensuring financial clarity and a smooth patient experience.Every day you will expertly contact insurance payers, confirm coverage details, identify patient responsibilities, and meticulously document all findings to facilitate accurate billing and address potential financial barriers to care.To be successful, you will demonstrate outstanding attention to detail, strong communication skills, and a persistent, customer-focused demeanor, contributing significantly to revenue integrity and informed patient access.
- 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.
Job Requirements
Required
- Bachelors Other in related field or 2 – 4 years healthcare experience, upon hire
- None, upon hire
