Vail Health Insurance Verification Rep I 8242 in Gypsum, Colorado
Provide patient data management and insurance verification/prior authorization of Vail Health Hospital services in order to support Vail Health internal department functions and the overall fiscal health of Vail Health Hospital. Provide education to internal and external clients on insurance benefit programs, contracts, and financial liabilities.
ESSENTIAL JOB FUNCTIONS:
- Coordinate, obtain, and manage accurate patient demographics for registration and management of hospital systems.
Maintain and update accurate insurance demographics to ensure clean claim.
Perform insurance verification.
Obtain prior authorization from insurance company in alignment with scheduled procedure.
Collaborate with Patient Financial Services to perform appeals process for claims denied due to missing prior authorization.
Clearly and effectively communicate with internal/external customers in a time sensitive manner in order to facilitate and/or provide excellent customer service.
Request payment of financial responsibility from patient/guarantor.
Post and reconcile outpatient payment batches.
Role model the principals of a Just Culture.
Perform other duties as assigned. Must be HIPAA compliant.
Previous hospital admissions or patient accounts office experience preferred.