Receive and confirm insurance related information and coverage from patient referrals for the Metabolic and Bariatric Surgery program
Determine necessity for pre-authorization and obtain authorization for scheduled procedures
Enter patient insurance information into the patient record (Epic) and document insurance coverage of services to be provided
Notify patient of his/her financial responsibility for services to be provided
Notify patients and practitioners of any services requested and/or referred that are not authorized by insurance
Communicate with patients and practitioners regarding financial responsibility and insurance coverage issues
May work with projects that are insurance and prior authorization related

High school diploma or equivalent
Related healthcare experience preferred
Healthcare front desk experience including outpatient clinic, registration, or billing and coding experience
Experience working with different insurance companies, surgeons/physicians, and other outpatient clinic staff
Strong written and verbal communication skills
Solid critical thinking skills, decisive judgment and the ability to work with minimal supervision
Personable, positive, and have a cheerful attitude

Bariatric Program Insurance Representative – Full-Time

Key skills