What are the responsibilities and job description for the Insurance Verifier position at Opelousas General Health System?
Full time position available.
Representative is responsible for performing all functions necessary to obtain verification and pre-certification on all scheduled and non-scheduled emergency and direct admits. The person in this position will be accountable for accuracy of all insurance benefit/pre-certification information prior to billing.
Essential Duties & Responsibilities:
• Answers basic insurance questions and /or refers appropriately as necessary. • Verifies and pre-certifies insurance according to department policy • Documents all activity relative to the account. • Maintains good communication with physicians and staff to promote a good working relationship. • Demonstrates a clear understanding of insurance pre-certification requirements. • Enters all relevant insurance benefits and pre-certification information into computer. • Keeps UR and Business Services department updated on any changes in status of all in-house patients. • Demonstrates a basic understanding of Medicare, Medicaid, HMO and PPO rules, regarding inpatient vs. Observation stays and pre-certification requirements. • Assist with registrations when needed in extremely busy conditions. • Helps patients arrange payment for services that are not covered by their insurance companies Education: High School Diploma required. 1 year of experience in Hospital admissions and/or billing experience |
Monday - Friday / 8:00am-4:30pm