Insurance Verifier Representative I

 Posted 21 days ago
     
0-2 years experience
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AI Summary

The representative validates patient demographics and insurance benefits with payers to ensure accurate EMR documentation. They also create cost estimates in compliance with state transparency and no-surprise billing regulations.

The Insurance Verification Representative ensures that patient demographics, insurance information, and insurance benefits are obtained and validated with the payer. This information is to be accurately reflected within the EMR for BHC appropriate communications with the payer, patient, and ordering provider must be professional and documented. In addition to the timely execution and review of benefit information, estimates are created in accordance with state regulations regarding transparency and no surprise billing. The Insurance Verification Representative works closely with case management/utilization review, payers, provider practices, patients, scheduling, financial counselors, and registration to ensure proper financial clearances.


Baptist Health Care is a not-for-profit health care system committed to improving the quality of life for people and communities in northwest Florida and south Alabama. The organization includesthree hospitals, four medical parks,Andrews Institute for Orthopaedic & Sports Medicine, and an extensive primary and specialty care provider network. With more than 4,000 team members, Baptist Health Care is one of the largest non-governmental employers in northwest Florida. 

 

Baptist Health Care, Inc. is an Equal Opportunity Employer. BHC maintains and enforces a policy that prohibits discrimination against any workforce members or applicants for employment because of sex, race, age, color, disability, marital status, national origin, religion, genetic information, or other category protected by federal, state or local law.

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