Patient Insurance Representative

About the role

The Patient Insurance Representative helps patients navigate complex billing, financial, and insurance workflows. Responsibilities include coordinating with physician practices and insurance companies to obtain authorization for scheduled surgeries and procedures, performing administrative duties to manage work queues, providing estimates, confirming insurance, securing authorizations, answering billing questions, and collecting payments.

This position serves as a liaison to patients, the community, and healthcare professionals, requiring excellent interpersonal and communication skills to ensure high-quality customer service. The work environment may be in a physician practice or a call center. This task-based, metrics-driven role involves reviewing and interpreting insurance authorization coverage online and through conversations with insurance representatives.

The Patient Insurance Representative supports multiple specialties, reviews patient charts, communicates with physician offices to obtain needed information, and relays necessary details to insurance companies.

Responsibilities

• Coordinate with physician practices and insurance companies to obtain authorization for surgeries and procedures.
• Perform administrative duties to manage work queues, provide estimates, confirm insurance, secure authorizations, answer billing questions, and collect payments.
• Serve as a liaison between patients, the community, and healthcare professionals to deliver high-quality customer service.
• Review and interpret insurance authorization coverage online and through conversations with insurance representatives.
• Support multiple specialties by reviewing patient charts and communicating with physician offices to gather and relay necessary information.

Requirements

• High School Diploma or equivalent (required).
• 1 year of experience in healthcare (required).

About the organization

Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, WakeMed is committed to providing outstanding and compassionate care.