Job Information
Chesapeake Regional Healthcare Insurance Verification Auth in Chesapeake, Virginia
Major Job Functions:
Verify insurance coverage and benefits for all scheduled patients at least 24-48 hours in advance
Confirm accurate billing address of carrier and contact person when appropriate
Confirm patient demographics, referring physician information and other chart information is accurate
On behalf of the referring physician, obtain authorization for services from insurance company if required
Process patient and insurance carriers telephone calls
Contact patient and/or referring physician when insurance coverage cannot be verified
Notify patient of any co-payments, cost-shares, or deductibles
Communicate with Scheduling Department when authorization cannot be obtained
Communicate with the front desk of any special circumstances
Properly notate accounts of all communications with patients
Assure that copies of all referrals, written authorizations and authorization numbers are entered in patient RIS record and provided to the billing department
Obtain necessary clinical records to facilitate obtaining authorization
Contact attorney, verify representation and billing address, date of accident or injury. Instruct front desk personnel to obtain patient signature on lien letter
Review authorization letters for accuracy
Refer patients with special payment circumstances to management
Communicate changes with insurance companies requirements with staff and management
Maintain the current exam board as well as the pending board
A review of this description has excluded the marginal functions of the position that are incidental to the performance of the fundamental job duties. All duties and requirements are essential. This job description in no way states or implies that these are the only job duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform any other job-related duties requested by their supervisors and/or management as required. MRI & CT Diagnostics reserves the right to revise or change job duties and responsibilities as the need arises. This job description does not constitute a written or implied contract of employment for any term.
Qualifications:
High School Diploma
Previous healthcare experience preferred, with courses in medical terminology preferred
Ability to operate copier, FAX machine, and computer
Must have excellent organizational, communication and interpersonal skills.
Ability to set priorities and manage varying workload
