Insurance Verification Representative

About the position

As an Insurance Verification Representative at CommonSpirit Health Mountain Region, you will play a crucial role in ensuring that patients receive the necessary insurance notifications and authorizations for their medical care. Your primary responsibilities will include initiating and documenting insurance notifications, obtaining and documenting insurance coverage and benefit information for all patients, and ensuring that payor-specific requirements are met. You will work closely with various departments, including the Business Office, provider offices, and Case Management personnel, to assist with follow-ups on appeals and denials, answer inquiries, and update accounts as necessary. Your communication skills will be essential as you will be interacting with CommonSpirit facilities, CBO, Case Management, Payor Relations, and Insurance Companies to address any issues that arise promptly. In this role, you will also serve as a subject matter expert for other Revenue Cycle Associates regarding insurance identification, benefit, and authorization requirements. This position requires a commitment to providing excellent service and support to both patients and colleagues, ensuring that the insurance verification process runs smoothly and efficiently. You will be part of a supportive team environment that values your unique talents and contributions, allowing you to grow your career while making a positive impact on the communities we serve.

Responsibilities
? Initiate and document insurance notification, authorization, and/or reference numbers for all patients.
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? Obtain and document insurance coverage and benefit information for all patients in a timely manner.
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? Work daily reports to ensure that payor-specific requirements are met.
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? Assist with follow-ups on appeals, denials, and inquiries, updating accounts as necessary.
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? Communicate with CommonSpirit facilities, CBO, Case Management, Payor Relations, and Insurance Companies on issues that arise.
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? Serve as a subject matter expert for other Revenue Cycle Associates regarding insurance identification, benefit, and authorization requirements.

Requirements
? High School Diploma or GED required.
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? Preferred 1-3 years of healthcare experience.
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? Knowledge of ICD-10 and CPT coding.
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? Familiarity with medical terminology.
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? Preferred knowledge of medical registration processes and understanding of the healthcare revenue cycle.
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? Preferred experience working with Microsoft Office applications.
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? Preferred experience working in a healthcare clinical information system.

Nice-to-haves
? Experience in a healthcare setting.
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? Advanced knowledge of medical coding and billing processes.

Benefits
? Several Medical, Dental, & Vision options.
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? Spending Accounts including a Dependent Care FSA that can include an employer contribution.
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? Retirement account options with a generous employer match.
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? Tuition Reimbursement.
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? Student Loan Forgiveness.

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