Insurance Pre-Registration Representative
Prisma Health
full-time
Posted on:
Location Type: Remote
Location: South Carolina • United States
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About the role
- Verifies insurance coverage/benefits utilizing online eligibility, websites, or by telephone inquiry to the insurance administrator and/or third-party payor.
- Information obtained through insurance verification must always be documented accurately and completely in the EPIC patient billing system.
- Ensures insurance priorities are correct based on third-party requirements/COB.
- Identifies current patient responsibility using insurance eligibility and benefit responses.
- Documents patient responsibility as required according to Departmental Guidelines to help ensure correct patient payments are collected at time of service.
- Initiates, obtains, and documents pre-certifications /prior authorizations as required according to Departmental Guidelines.
- Communicates new insurance system issues to appropriate personnel to be reviewed/corrected.
- Manually corrects/updates current identified insurance issues according to departmental guidelines until correction can be implemented.
- Performs other duties as assigned.
Requirements
- High School diploma or equivalent OR post-high school diploma/highest degree earned
- Two (2) years billing, bookkeeping, or accounting experience
Benefits
- Inspire health.
- Serve with compassion.
- Be the difference.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
insurance verificationpatient billingpre-certificationsprior authorizationsdocumentationbillingbookkeepingaccounting
Soft Skills
communicationattention to detail
Certifications
High School diplomapost-high school diploma