Insurance Verification Authorization
On-siteChesapeake, Virginia, United States
Job Summary
Verify patient insurance benefits and obtain necessary authorizations and referrals for MRI & CT services at least 24-48 hours in advance. Confirm deductibles, co-payments, and cost-shares while processing patient and carrier telephone calls. Contact patients or referring physicians to resolve coverage issues and notify the scheduling department when authorizations cannot be obtained. Enter authorization numbers and clinical records into the patient RIS file and ensure all communications are properly notated. Maintain the exam board and pending board while communicating insurance requirement changes to staff and management. Refer patients with special payment circumstances to management and ensure lien letters are signed by patients when required.
Required Qualifications
- High School Diploma
- Ability to operate copier, FAX machine, and computer
- Must have excellent organizational, communication and interpersonal skills
- Ability to set priorities and manage varying workload
- Must be able to remain calm in stressful situations
- Must display courtesy and empathy toward co-workers and physicians
- Must be able to make sound judgments and execute the appropriate actions based on the needs of the knowledge of departmental policies and procedures
- Must be discrete with confidential information and abide by corporate HIPAA policies
- Must be able to move about freely
- Must possess sufficient visual and auditory acuity, and manual dexterity to perform task
- Must attend mandatory practice training and departmental requirements annually
Desired Qualifications
- Previous healthcare experience preferred
- courses in medical terminology preferred
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