Summary The primary function of an Insurance Verification Representative is to complete accurate and timely verification of insurance for appropriate reimbursement. To coordinate information to ensure outpatient pre-certification and inpatient authorization is obtained. Ensures accurate liability is maintained on accounts. Must be very detail-oriented and organized, in order to maintain accurate patient insurance records in the patient billing system. Responsible for verifying the information that has been entered in the patient billing system and correct errors that are found. Responsible for entering data in a timely and accurate manner by meeting the expectation that 100% of authorizations / notifications are submitted to insurance company within 24 hours of admission/ observation stay at the facility. Provides excellent customer service, has the ability to find solutions to problems, and maintains effective communication clearly in writing and in speaking without being misunderstood.
Entity
Medical University Hospital Authority (MUHA)Worker Type
EmployeeWorker Sub-Type
RegularCost Center
CC004356 SYS - Corp Revenue Cycle - FLO DIRECTPay Rate Type
HourlyPay Grade
Health-22Scheduled Weekly Hours
40Work Shift
The primary function of an Insurance Verification Representative is to complete accurate and timely verification of insurance for appropriate reimbursement. To coordinate information to ensure outpatient pre-certification and inpatient authorization is obtained. Ensures accurate liability is maintained on accounts. Must be very detail-oriented and organized, in order to maintain accurate patient insurance records in the patient billing system. Responsible for verifying the information that has been entered in the patient billing system and correct errors that are found. Responsible for entering data in a timely and accurate manner by meeting the expectation that 100% of authorizations / notifications are submitted to insurance company within 24 hours of admission/ observation stay at the facility. Provides excellent customer service, has the ability to find solutions to problems, and maintains effective communication clearly in writing and in speaking without being misunderstood.
Additional
Education: High School Degree or Equivalent Work Experience: 1 yearIf you like working with energetic enthusiastic individuals, you will enjoy your career with us!
The Medical University of South Carolina is an Equal Opportunity Employer. MUSC does not discriminate on the basis of race, color, religion or belief, age, sex, national origin, gender identity, sexual orientation, disability, protected veteran status, family or parental status, or any other status protected by state laws and/or federal regulations. All qualified applicants are encouraged to apply and will receive consideration for employment based upon applicable qualifications, merit and business need.
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