Baptist Health

Insurance Follow Up Verifier – Ear, Nose, & Throat

Baptist Health

full-time

Posted on:

Location Type: Office

Location: Pensacola • Florida • United States

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Job Level

Junior

About the role

  • Verifying insurance eligibility and obtaining authorizations for office visits, diagnostic and procedural services.
  • Works closely with Baptist Medical Group Representatives, all medical facilities, insurance companies, providers, patients and family members.
  • Works daily reports from various systems to ensure the proper capture of all patients for verification/authorization.
  • Communicates directly with the patients three (3) to five (5) days prior to arrival with information about co-pay, co-insurance and deductible amounts due at time of service (makes three (3) attempts to contact patient prior to visit) and provides patients with information regarding financial arrangements and/or financial assistance when needed.
  • Provides patients and ordering physicians with information regarding needed authorization prior to patient’s arrival.
  • Files and follows up on appeals to the insurance companies. Communicates appeal information to the providers and patients.

Requirements

  • High School Diploma or Equivalent Required
  • 6 months customer service experience preferably in a Health Care/office setting Required
  • Ability to provide excellent customer service.
  • Knowledge of medical terminology as they apply to specialty.
  • Must be able to use a multi-line phone system, scanner, computer, calculator, fax, copier and other office tools needed to perform daily job duties.
  • Ability to maintain confidentiality of patient information in accordance with HIPPA guidelines.
  • Must have the ability to communicate effectively, both written and orally, when in contact with co-workers, management, physicians, patients and internal/external customers.
  • Ability to handle complaints and requests in a professional calm manner.
  • Confident with organizational ability and excellent multi-tasking skills.
  • Must have good team member skills and function well under pressure.
  • Skilled and competent with use of computers and related software applications.
  • Ability to function in a fast paced, often stressful environment while maintaining a respectful, caring, calm, professional manner at all times.
  • Customer focused.
Benefits
  • Equal Opportunity Employer
  • Policy prohibits discrimination based on various categories
Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills & Tools
medical terminologyinsurance eligibility verificationauthorization processesappeals filingcustomer service
Soft Skills
excellent customer serviceeffective communicationorganizational abilitymulti-taskingteamworkcalm under pressureconfidentiality maintenance
Certifications
High School Diploma or Equivalent