Insurance Representative

Essential Duties and Responsibilities

• Ensures accurate, timely, and thorough documentation and completion of all necessary paperwork, according to established standards.
• Ensures accurate and timely data entry into the RIS system for each patient, according to established standards.
• Utilizes telephone voice response systems and website solutions to obtain information on patients' eligibility status with insurance companies.
• Works with patients to obtain complete and correct insurance information, discusses eligibility results and alternative payment methods.
• Properly analyzes various payor eligibility responses to find the information needed to complete verifications.
• Obtains and confirms insurance pre-authorizations when necessary.
• Follows all HIPAA, compliance, privacy and confidentiality standards.
• Maintains patient confidentiality at all times.
• Demonstrates professionalism and courtesy to patients, families/guests and other team members.
• Communicates clearly and effectively.
• Communicates with vendors, patients, referring physicians, co-workers and all team members in a courteous and professional manner.
• Provides thorough and accurate information to all callers.
• Maintains self-control when dealing with difficult patients and/or situations. Involves manager or team leader when necessary.
• Maintains insurance verification log of accounts/procedures verified.
• Contacts insurance providers via email or phone to review status of authorizations.
• Works closely with referring physicians' staff to obtain patient notes and begin process of authorizations.
• Scans all completed paperwork into eRad RIS.
• Completes all paperwork in a timely and accurate manner.
• Promotes a positive and supportive relationship with referring community and fellow employees.
• Performs other duties as assigned.

Minimum Qualifications, Education and Experience

• Must have one of the following: a high school diploma or general education degree (GED), one to three months of related experience and/or training, or an equivalent combination of education and experience.