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Insurance Verification Representative

Company: Parallon
Location: Pensacola
Posted on: August 13, 2019

Job Description:

Description SHIFT: Work From Home

SCHEDULE: Full-time

Doyou have a passion for healthcare and helping others? Do you enjoy working in afast-paced, patient-centered environment? Jump-start your career in ourInsurance Verification department. Submit your application today!
Ouremployees come first. We provide a total compensation package to make sure yourneeds are met. Choose the medical coverage package that best suits you. Lookafter your loved ones while still getting paid with our Paid Family Leave. Planfor your future with our matching 401k or opt-in for several other benefitsincluding tuition assistance, student loan repayment, family and medical flexspending accounts, life insurance, and identity theft protection.
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OurInsurance Verification teams are a committed, caring group of colleagues. Wehave a passion for creating positive patient interactions. If you are dedicatedto caring for the well-being of others, this could be your next opportunity. Wewant your knowledge and expertise!
As anInsurance Verification Representative, you will be responsible for timely andaccurate insurance verification as well as accurately interpreting managed carecontracts. This is a full-time work from home position. It is required that youlive in the Pensacola area.
WHAT YOU WILL DO IN THIS ROLE? margin-top:0in;margin-bottom:0in"> Conducts Insurance verification process within 24 hours of receipt of reservation/notification for both inpatient and outpatient services. Follows scripted benefits verification format in appropriate systems custom benefits screen and record benefits. Contacts physician to resolve issues regarding prior authorization or referral forms. Perform electronic eligibility confirmation when applicable and document results. Researches Patient Visit History to ensure compliance with the Medicare 72 hour rule. Completes Medicare Secondary Payor Questionnaire as applicable for retention in Abstracting module. Performs insurance verification and account status changes by assigned facility. Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre-existing, non-covered, and re-certification issues. Utilizes system account notes and Collections System account notes as appropriate to cut-n-paste benefit and pre-authorization information and to document key information. margin-bottom:0pt"> Perform Insurance Verification activities based on production quotas.-- Fully capable of meeting quotas.Qualifications margin-top:0in;margin-bottom:0in"> margin-bottom:0pt"> Minimum of one year working in an insurance setting. margin-bottom:0pt"> Must live in the area of Pensacola, FL.
Parallon is an industry leaderin revenue cycle services. We partner with over 650 hospitals and 2,400physician practices nation-wide. Our parent company, HCA Healthcare has beenconsistently named a World---s Most EthicalCompany by Ethisphere and is ranked in the Fortune 100. We are dedicatedto ensuring our patients have the best experience even after they leave ourfacilities.
Be a part of an organization that invests in you. We areactively reviewing applications. Highly qualified candidates will be promptlycontacted by our hiring managers for interviews. Submit your application andhelp us raise the bar in patient care.
Weare an equal opportunity employer and value diversity at our company. We do notdiscriminate on the basis of race, religion, color, national origin, gender,sexual orientation, age, marital status, veteran status, or disability status.#ParallonBCOM

Company Description:

HCA Healthcare is a collaborative healthcare network, driven by physicians, nurses and colleagues helping each other champion the practice of medicine to give people a healthier tomorrow. With a comprehensive network of more than 270,000 people across approximately 1,800 care facilities, our scale enables us to deliver great outcomes for our patients, provide superior nursing care and be a preferred place for physicians to practice medicine. We never stop in our pursuit of insights and care advances based on the knowledge and data we gain from approximately 30 million patient encounters a year. Every day, we raise the bar to improve the way healthcare is delivered, not just in our facilities, but everywhere. We---re committed to improving more lives in more ways, and above all else, we are committed to the care and improvement of human life.

Keywords: Parallon, Pensacola , Insurance Verification Representative, Other , Pensacola, Florida

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