Vitruvian

Insurance

• Gather accurate patient demographic and insurance information during inpatient/outpatient registration
• Distribute appropriate information to all departments
• Monitor physician-ordered diagnostic tests for medical necessity according to government guidelines
• Verify patient insurance coverage and benefits and document information in the AS400
• Notify the Supervisor of self-pay patients and the UR Department of insurance coverage issues
• Ensure pre-certifications and authorizations are obtained by physician offices when required
• Notify appropriate departments when required pre-certifications or authorizations are not obtained
• Perform other duties as assigned according to departmental standards

Insurance Representative

General

• Provide direct patient care by optimizing therapy delivered by patients’ cardiac implantable electronic devices (CIED)
• Assess patient symptoms and analyze heart rhythms
• Interrogate and perform advanced reprogramming of cardiac implantable electronic devices
• Provide direct patient care in person and via remote monitoring
• Work with various CIED brands using up-to-date standards
• Compose accurate device interrogation and reprogramming reports for final approval by the Cardiac Electrophysiologist
• Document pertinent clinical data in the electronic health record
• Maintain annual proven competency for this level of patient care
• Work under the supervision of the Cardiac Electrophysiologist

Insurance Representative

Cardiac Device Specialist – PRN