Insurance Verification Representative

Job Summary

A company is looking for a Pre-Registration/Insurance Verification Representative.

Key Responsibilities:

• Perform pre-registration and insurance verification for inpatient and outpatient services within 24 hours of notification
• Contact physicians to resolve prior authorization issues and confirm or obtain missing patient demographic information
• Calculate patient cost share and collect payments while ensuring compliance with payor specific payment window rules

Required Qualifications:

• High school diploma or GED required
• 0-3 years of experience; insurance verification experience preferred
• No specific licenses or certifications required
• Proficiency in PC applications as required
• Basic mathematical skills for calculations and reconciliations