Insurance Verification Rep

Full Time
Omaha, NE 68124
Posted
Job description
Overview

Your time at work should be fulfilling.
Rewarding. Inspiring. That’s what you’ll find when you join one of our non-profit CHI facilities across the nation. You’ll find challenging, rewarding work every day alongside people who have as much compassion as you. Join us and together we’ll create healthier, stronger communities.

CHI Health provides you with the same level of care you provide for others. We care about our employees’ well-being and offer benefits that complement work/life balance.


Physical Office Location:

CHI Health Service Center
7261 Mercy Rd
Omaha, NE 68124


We offer the following benefits to support you and your family:


  • Employee Assistance Program (EAP) for you and your family
  • Health/Dental/Vision Insurance
  • Flexible spending accounts
  • Voluntary Protection: Group Accident, Critical Illness, and Identity Theft
  • Paid Time Off (PTO)
  • Tuition Assistance for career growth and development
  • Matching Retirement Programs
  • Wellness Program

From primary to specialty care as well as walk-in and virtual services CHI Health Clinic delivers more options and better access so you can spend time on what matters: being healthy. We offer more than 20 specialties and 100 convenient locations; with some clinics offering extended hours.

Responsibilities

Under general supervision, Insurance Verification Representative is responsible for verifying patient’s insurance information and obtains authorization prior to scheduled visits in accordance with HIPAA guidelines, internal standards and procedures, and other regulatory requirements. Responsible for interpreting coverage limitations, patient versus insurance coverage, follows up with payors/patients to secure account and responds to insurance verification questions. Work closely with physicians, patients, and other healthcare staffs to ensure authorizations cover the services needed and that correct information is obtained.

Key Responsibilities
  • Ensure insurance coverage by telephone.
  • Resolve any issues with coverage and escalates complicated issues to manager.
  • Interview patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
  • Coordinate with clinical staff to obtain charge information for all patients.
  • Code procedures performed and diagnosis on charge.
  • Assign appropriate ICD-9, CPT and HCPCS code(s) to accurately support the need and documentation for each service.
  • Coordinate copies of medical documentation with physician charges to support billing to third-party payers.
  • Identify physician services provided, but not accurately documented in the medical record.
  • Resolve routine patient billing inquiries and problems.
  • Perform other duties as assigned.

Qualifications

Education / Accreditation / Licensure (required & preferred):
  • Bachelor degree in related field preferred.

Experience (required and preferred):
  • 2 – 4 years healthcare experience preferred.

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