Health Insurance Verification Rep Part Time Days
About the position
Join Parallon as a Health Insurance Verification Rep, a role that allows you to work from home in North Carolina. This position involves a schedule of Monday to Friday from 8 am to 12 pm, with 85% of the work conducted over the phone. You will be part of a team dedicated to community service, having contributed over 156,000 hours of volunteering last year. Your responsibilities will include pre-registration, insurance verification, pre-certification, and insurance notification, ensuring timely and accurate processes for both inpatient and outpatient services.
Responsibilities
• Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services.
• Follow scripted benefits verification pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information.
• Perform electronic insurance eligibility confirmation when applicable and document results.
• Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e., OnBase).
• Calculate patient cost share and be prepared to collect via phone or make payment arrangements.
• Contact patient via phone to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment.
• Receive and record payments from patient services scheduled.
• Utilize appropriate communication system to facilitate communication with hospital gatekeeper.
• Contact physician to resolve issues regarding prior authorization or referral forms.
• Perform insurance verification and pre-certification follow up for prior day's walk-in admissions/registrations and account status changes by assigned facility.
Requirements
• High school diploma or GED preferred.
• 1 year of related experience required.
Nice-to-haves
• Cerner System Experience is a Plus.
Benefits
• Comprehensive medical coverage with low copay options.
• Dental and vision benefits, life and disability coverage.
• Flexible spending accounts and supplemental health protection plans.
• 401(k) Plan with a 100% match on 3% to 9% of pay.
• Employee Stock Purchase Plan with 10% off HCA Healthcare stock.
• Family support through fertility and family building benefits.
• Referral services for child, elder, and pet care.
• Consumer discounts through Abenity.
• Education assistance including tuition and certification support.
• Colleague recognition program.
• Time Away From Work Program including paid time off and family leave.
• Employee Health Assistance Fund offering free employee-only coverage.
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