Insurance Verification Representative

Essential Functions

Verify insurance companies and primary care physicians online or over the phone to obtain benefit information.

Complete billing tasks in a timely manner.

Call primary care physicians to obtain referrals and/or authorizations when required.

Inform patients regarding their insurance benefits, copays, deductibles, and self-pay balance due.

Enter the authorization number in EMR with the correct CPT codes, NPI, Tax ID, PCP, and payer information.

Follow up with the PCP or the insurance company for the authorization requested.

Cancel and reschedule the patient's appointment when the authorization has not arrived at 4 pm prior to the DOS.

Check if the patient's insurance information is correct and matches with the insurance verification and expires all inactive payers.

Answer phones promptly and courteously handle requests and inquiries, or routes accordingly.

Job Specifications

Typically has the following skills or abilities

High School Diploma required

Customer Service experience

Ability to handle multiple tasks simultaneously in a fast-paced environment

Ability to handle and diffuse patient complaints and disagreements

Exceptional communication and interpersonal skills

Experience navigating Electronic Medical Records and Outlook

Bilingual in English/Spanish

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The compensation range for the role is listed below. Applicable salary ranges may differ across markets. Actual pay will be determined based on experience and other job-related factors permitted by law. As a part of the compensation package, this role may include eligible bonuses and commissions. For more information regarding iCare benefits, please click here.