Insurance Verification Representative

POSITION SUMMARY:

Under the general direction of the Insurance Verification Manager, ensures that patient’s insurance information is accurate before the scheduled visit for billing and quality purposes. To ensure insurance claim reimbursement is verified for timely filing.
+ Checks eligibility of patients’ insurance thru the batch system using the Clearance Change application
+ Corresponds with all SMG offices with any insurance related issues
+ Calls patients to obtain any new or existing insurance information that could result in claim denial.
+ Contacts self-pay patients if no insurance is captured thru other insurance modules and resources. If determined the patient is self-pay- refer patient to Financial Counselor, and notify office of deposit due at time of service.
+ Communicates with the patient’s Primary Care Physician or Referral Department if a referral is required and not obtained.
+ Corresponds with the Referral department on any insurance chang...