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Insurance Verification in Tampa at Staffing Now

Date Posted: 5/7/2020

Job Snapshot

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    At least 2 year(s)
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Job Description

SNI Companies has an immediate opening for n experienced
Insurance Verification Specialist for a large high end Surgery Center in Tampa.
3- 5 years experience in the Pre-Collections stage, Insurance Verification and familiar with Medical records and reading EOBs.

  • Responsible for reviewing patients' case and insurance coverage information to personalize the call contents to the patient.
  • Choose the right HARP internal software insurance code following information provided on patients' insurance.
  • Study patients' scanned requisition record and input all information relating to insurance coverage.
  • Take and verify all patients' demographic information when registering them for the service or program.
  • Identify important patient and demographic information that are missing and inform client about them to avoid claim processing issues with the insurer.
  • Establish contact with the ordering physician's office or customer service department to resolve issues concerning missing vital information from patients scanned requisition record.
  • Ensure timely processing of benefit information and seek assistance from management when necessary.
  • Work cordially in a team and participate in meetings, sharing ideas and information.
  • Ensure all inpatient files are available for daily verification of insurance benefits by printing census.
  • Remove and forward discharged patients' files to the Business Office where they are processed.
  • Request pre-certification and benefits on all patients, both inpatients and outpatients for surgery.
  • Using DDE, perform verification of Medicare coverage and limits on all Medicare accounts of inpatients.
  • Acquire billing information by verifying Worker's Compensation accounts and MVA.
  • Contact clinical staff for patient's clinical information if it is needed by the insurance provider for the admission to be certified.