Insurance Verification Representative at AdventHealth

Date Posted: 9/24/2020

Job Snapshot

  • Job Schedule
    Full-Time
  • Location:
    Ocala, FL
  • Date Posted:
    9/24/2020
  • Job ID:
    20016461
  • Job Family
    Patient Financial Services
  • Travel
    No
  • Shift
    1 - Day

Job Description


Description
Insurance Verify Representative AdventHealth Ocala

Location Address: 1500 SW 1st Ave Ocala, Florida 34471

Top Reasons To Work At AdventHealth Ocala
  • Horse Capital of the World
  • Driving distance to Gainesville, St. Augustine, Orlando, Tampa, Sarasota
  • Part of the community since 1898, providing healthcare to Marion County for over 120 years
  • Florida Hospital Ocala offers a broad spectrum of services, with programs that are nationally recognized and accredited
  • Spectacular springs throughout the county
Work Hours/Shift:
 Full Time
GENERAL SUMMARY:

Primary responsibility is to verify insurance benefits and authorization requirements for outpatient testing, emergency treatment, observation and admission in a professional and courteous manner to include the calculation of patient responsibility.

PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:

  • Promptly reviews/works QUES.
  • Promptly and accurately verifies insurance benefits including authorization requirements.
  • Promptly contacts physician’s office regarding authorization requirement and follow up.
  • Calculates patient estimated amount due using point of service tools following hospital policies and procedures.
  • Accurately verifies patient insurance information and assigns the proper insurance plan and financial class in HIS.
  • When applicable initiation of authorization for services.
  • Verifies that all required authorizations is obtained and accurate prior to patient arrival.
  • Properly documents account notes in HIS.
  • Provides quick, efficient and accurate insurance verification process to avoid delay in patient care/treatment.
  • Scheduled accounts must be completed and out five days prior to appointment.
  • Promptly contacts supervisor and/or management with any issues relating to insurance and authorizations.
  • Promptly reviews and completes required daily, weekly and monthly reports.
  • Performs other duties as assigned.
 


Qualifications
 

EDUCATION AND EXPERIENCE REQUIRED:

  • High School diploma or equivalent required
  • One year of office experience in a medical setting is required
  • Communication skills are a must/plus, incumbent must be able to function effectively under stress.  Familiarity with software packages and navigation techniques.
 



This facility is an equal opportunity employer and complies with federal, state and local anti-discrimination laws, regulations and ordinances.

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