Insurance Follow Up-Verifier
Start Date: Immediate | Remote Job: Yes | Telecommute: Yes
About the role
The Insurance Follow Up/Verifier is responsible for all inpatient/outpatient areas, including but not limited to: scheduled surgeries, the inpatient census reports, online systems provided by multiple payers to verify insurance eligibility, obtain benefits, obtain required authorizations, contact patients with financial liability, and maintain appropriate/consistent documentation on accounts worked. The role ensures accurate and timely follow-up by making calls to insurance companies regarding authorization status, reviews orders prior to testing to ensure medical necessity guidelines are met, and files and follows up on appeals to insurance companies.
Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includes three hospitals, four medical parks, Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida.
Responsibilities
- Verify insurance eligibility for inpatient and outpatient services
- Obtain benefits and required authorizations using online systems provided by multiple payers
- Contact patients regarding financial liability
- Maintain appropriate and consistent documentation on accounts worked
- Update patient health information to ensure insurance accuracy
- Follow up on authorization status by calling insurance companies
- Review orders prior to testing to ensure medical necessity guidelines are met
- File and follow up on appeals with insurance companies
Skills
- Insurance Verification
- Insurance Eligibility
- Authorization Procurement
- Medical Necessity Review
- Appeals Filing
- Patient Communication
- Documentation
- Customer Service