Insurance and Pre-Registration Representative

Role Overview

• Verifies insurance coverage/benefits utilizing online eligibility, websites or by telephone inquiry to the insurance administrator and/or third-party payor.
• Information obtained through insurance verification must always be documented accurately and completely in the EPIC patient billing system.
• Ensures insurance priorities are correct based on third-party requirements/COB.
• Identifies current patient responsibility using insurance eligibility and benefit responses.
• Documents patient responsibility as required according to Departmental Guidelines to help ensure correct patient payments are collected at time of service.
• Initiates, obtains, and documents pre-certifications /prior authorizations as required according to Departmental Guidelines.
• Communicates new insurance system issues to appropriate personnel to be reviewed/corrected.
• Manually corrects/updates current identified insurance issues according to departmental guidelines until correction can be implemented.
• Performs other duties as assigned.

Requirements

• Education
• High School diploma or equivalent OR post-high school diploma/highest degree earned
• Two (2) years billing, bookkeeping, or accounting experience

Benefits

• Inspire health.
• Serve with compassion.
• Be the difference.