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Insurance Verification

Danville, Illinois, United States
June 13, 2019


Role: Insurance Verification

Location: Danville, IL

Duration: 6 Months Contract

Job Description

•Performs a variety of routine and non-routine insurance and benefit verification functions including authorization / referrals in accordance with standard procedures. Responsible for meeting daily production and quality standards.

•Ensure all patient demographic and insurance information is up to date and correct

•Verify insurance coverage to include plan limitations, co pays, deductibles, out of pocket expense, network status, benefit category, authorization requirements, as well as other information based on payor category.

•Update patient insurance for billing purposes.

•Research contracted status and coverage information.

•Update patient records with insurance information, demographics, authorizations and referrals requirements

•Communications with internal and external stakeholders as necessary (phone and email)

•May need to speak directly to physician offices and/or insurance companies over the telephone

•Prioritize work based on customer needs and service level agreements.

•Ensure all prior authorizations and/or referrals are obtained in a timely manner.

•Audit accounts for accurate patient demographic and insurance information.

•Notify client of discrepancies in a timely manner (i.e. insurance terminated, non-covered services, member not eligible)

•Utilize plan coverage information to calculate patient out-of-pocket expenses in a timely manner

•May participate in special projects as requested.

•Manage any errors to ensure they are corrected within a timely manner.