Insurance Verification Representative, Part-Time - Nebraska Spine Hospital

Verify patient insurance eligibility and benefits by contacting physicians and patients, utilizing vendor systems to obtain pre-certifications, and entering data into the patient accounting system. Determine secondary insurance payers, notify managers immediately of out-of-network cases, and document findings while communicating estimated co-insurance, copays, and deductibles to patients prior to the date of service. Obtain and validate authorizations from insurance companies and physician offices, ensuring complete information including CPT codes and effective dates is entered into the system. Calculate financial obligations per payer contracts, collect copays and deductibles, and notify patients regarding non-payable procedures or obtain necessary ABN signatures.