Central Insur Verification Rep

Position Summary Position: Central Insurance Verification Rep Location: Melbourne, FL. Shift: Full-time | Day shift Summary Work as part of a Team which is responsible for Insurance verification for the physician, hospital, or surgery appointments Responsibilities What you will do Verify insurance plan and network to make sure that the physician office, hospital, or ambulatory surgery center is participating. Contacts appropriate payers to verify insurance coverage and benefits.

Knowledge in the use of understanding electronic verification tools and web based resources. Knowledge and familiar with a commercial and state funded insurance plans. Must be able to identify an HMO, POS, Open access and/or PPO type plan. Verify effective date, group number and claim address. Verify copays, deductible amounts, out of pocket amounts and co-insurance. Efficiently and accurately input the insurance information on the account for correct billing and proper referral processing.

Reviews insurance coverage for same day appointments. Reviews and works reports for future appointments. Rotate with other staff to work reports and immediate attention forms. Link patient /guarantor party to the insurance on accounts. Communicate with the physician offices to report eligibility issues or obtain updated information to complete verification process. Identify and understand coordination of benefits when needed. Create alert notes on accounts with information that the offices will need to know.