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Insurance Verification Associate I
R1 RCMInsurance Verification Associate verifying and documenting patient insurance benefits and eligibility for hospital systems. Collaborating with clinical teams to gather and submit necessary documentation.
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
benefit verificationpre-certificationauthorizationclinical information retrievalelectronic documentationclaim processinginsurance plan code correction
Soft Skills
customer serviceoral communicationwritten communicationteam collaborationprofessional communication
Tools & Technologies
HIPAA compliancepatient medical records
Industry Keywords
insurance verificationpatient-facing experiencecare management
About the role
Key responsibilities & impact- Initiates contact insurance companies (phone, fax, or web portals) to verify benefits, eligibility, and authorization requirements
- Submits and follows up on pre-certification, authorization, and retro-authorization requests until determination is received
- Obtains and provides clinical information by collaborating with care management teams or accessing patient medical records
- Completes detailed electronic documentation to ensure accurate benefit verification and clean claim processing
- Identifies and corrects inaccurate insurance plan codes within the hospital system
- Maintains HIPAA compliance and documents all actions clearly while communicating professionally with patients, team members, and stakeholders
- Other assigned duties and tasks.
Requirements
What you’ll need- At least one (1) year of similar experience (patient-facing, Registration Complete)
- Excellent customer service skills exhibiting good oral and written communication skills
- Ability to work with peers in a team effort and cross-functionally
- Must be able to communicate effectively and professionally to our patients and physician offices.
Benefits
Comp & perks- Competitive benefits package