Verifies healthcare insurance coverage and validates patients’ benefits.
Contacts insurance company to verify patient coverage and obtain information concerning extent of benefits, via phone, website or fax;
Verifies insurance information and benefits on all new patients, and on any patient with new insurance. Follows up with patient for additional information as needed;
Verifies referral status. Follows up with patient or PCP to verify that referral has been made if required;
Prepares new patient paperwork and any updates on existing patients;
Attaches all paperwork including a check list of what is needed and places in an alphabetized file for the front desk;
Prepares same day add-on patient paperwork;
Ensures all benefits are posted appropriately to the patients account as directed in the revenue cycle;
Communicates with PAR’s and front desk regarding needed information for the provider’s clinic;
Indicates the patient’s financial responsibility by highlighting deductible, co-pays or co-insurance on the superbill and enters the copay amounts in the information system (IDX) as required.
High School diploma or equivalent is required.
Six months to one year of experience working with Insurance terminology is preferred.
Two years of experience working with insurance and benefits verification preferably in a health care environment is preferred.
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Resurgens Orthopaedics - 5 months ago
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