Insurance Verification Rep I


Patient Registration
Job Summary

Responsible for obtaining accurate health insurance benefits verification of eligibility status and assist with authorizations using electronic verification systems or by contacting payers directly to determine level of insurance coverage. Ensures the pre-registration process is complete for all assigned accounts at least 7 days prior to the scheduled date of service whenever possible. Identifies copayments, coinsurance, and policy limitations, and advises patient and collects amount before the time of service. Follows up on missing authorizations. If authorization is not obtained within 48-hours prior to service, contacts patient to advise them of their options for rescheduling/follow-up with physician's office or proceeding without authorization.

Required Qualifications

- Require a minimum of one (1) to two (2) years of medical insurance verification / authorizations experience.
- Require a general knowledge of medical terminology.

Preferred Qualifications

- Prefer typing skills minimum thirty (30) words per minute.
- Prefer working knowledge of ICD-9/ ICD-10 and CPT coding.
- Prefer demonstrated excellent customer service skills and phone etiquette skills.
- Prefer basic working knowledge of commonly used computer applications.
- Prefer general knowledge of medical terminology.
- Prefer the ability to communicate clearly and effectively; excellent written skills and spelling/grammar.
- Prefer experience in patient interviewing.
- Prefer prior demonstrated customer-centered service experience and ability to be flexible with changing priorities, demands and requests.
- Prefer demonstrated flexibility and adaptability.
- Prefer strong organizational skills.

Mandatory Education

HS EQ: High School Diploma, GED or Certificate

Preferred Education

AD: Associate's Degree

Required License and Certs

Preferred License and Certs

CHAA: Certified Health Access Assoc
Full Time
Salary Range
$34,000.00 - $36,000.00
per Year
Salary range estimated by
salary estimation provided by zippia
Sarasota, FL, 34236, US