Description
Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.
Summary:
Responsible for the timely verification of medical insurance benefits: calling private insurance companies, Medicare, and Medicaid to obtain benefit information, determining insurance compatibility with health-care provider programs, coordinating with patients regarding their insurance benefits and medical providers programs, re-verifying existing patient insurance coverage, and determining if an insurance benefit plan considers selected products appropriate based on patient need. Representative will obtain pre-certification or authorization for procedures, verify insurance for both admissions and pre-admissions, specified procedures and day surgeries, and alert the financial department about uninsured or underinsured patients.
Responsibilities:
- Insurance Verification
- Authorizations
- Customer Service
- Participates in quality improvement activities.
- Performs miscellaneous duties, as needed, to support operations and the provision of services.
Other information:
- High school graduate or GED.
- Formal business education course work with emphasis on insurance, CPT coding and ICD-9 applications preferred
- 1-3 Healthcare/Medical - Admissions or related experience
- 1 Healthcare/Medical - Admissions setting experience
- 1-3 years experience performing insurance verification or one year experience working with medical billing procedures or medical insurance programs preferred.
Job Details
Legal Employer: Nash Hospitals
Entity: Nash UNC Health Care
Organization Unit: NGH Registration Discharge
Work Type: Full Time
Standard Hours Per Week: 40.00
Work Assignment Type:
Work Schedule: Day Job
Location of Job: NASH HC
Exempt From Overtime: Exempt: No