Insurance

• Verifies patients’ insurance benefits and information, as well as obtains pre-authorizations from third party payers in accordance with payer requirements, and/or initiates notifications of admission
• Resolves authorization denials by providing additional information, documentation, and appeals
• Completes retro-authorizations for urgent and add-on cases as allowed by insurance providers
• Documents all payer communications and pre-service financial conversations, including payer decisions, collection attempts, and payment plan arrangements
• Provides patients with personalized estimates of their financial responsibility based on their insurance coverage or eligibility for government programs prior to service for both inpatient and outpatient services
• Informs patients of the timeframe for enrolling a newborn in coverage, provides any documentation or guidance for the patient to enroll their child prior to or after the anticipated delivery date
• Communicates as needed with registration staff and financial counselors
• Reports all identified compliance risks to appropriate leadership
• Other duties and responsibilities as assigned

Insurance Verification Representative

Insurance Career Advisor

Insurance Consultant

Complex Claims Specialist – Cyber, Technology, Media & Crime

Health Insurance Representative

Insurance Account Representative