Insurance Verification Representative - Remote (Tri-County Area)
Core
Verify patient insurance eligibility, benefits, and authorizations to ensure financial clearance and timely referral processing for a university health system.
Role type
Insurance Verification Representative
Builds
Patient financial clearance and authorization workflows
Domain
Healthcare administration / Insurance verification
Deliverable
dashboards & analysis
Required skills
Insurance eligibility verification, benefits validation, referral creation, co-pay processing, authorization documentation, patient communication, data entry, queue management, process improvement
Preferred skills
EPIC scheduling experience, bilingual communication, stress management, problem-solving
Responsibilities
Verify eligibility and benefits via automated services and phone calls; Edit insurance information in UChart including guarantor and policy details; Create referrals and document deductibles and co-insurance; Obtain authorizations from primary care offices and health plans; Communicate authorization denials and re-directions to patients; Assist patients with financial clearance questions; Participate in process improvement initiatives.
Seniority
Entry-level to Senior (1-3 years experience)